NURSE-PATIENT INTERACTION
I. PATIENT PROFILE
Name: Sarah Dada
Age:
Gender: Female
Civil Status: Married
Diagnosis:
II. SCENARIO
The nurse-patient interaction took place in a hospital setting.
Describe the setting: location, time, space and the environment where the
interaction took place.
III. NURSE-PATIENT INTERACTION
Therapeutic
Mental Health
Patient Communication Analysis of Behavior
Worker
Techniques Used
Good Morning, I’m Good morning, -Concepts
Dr. Jad, I will be doctor.
-Principles of
seeing you today.
Psychiatric Nursing
-Defense
Can you please tell Mechanisms
Sarah Dada.
me your name?
-
Tell me Sarah; what
is troubling you? I don’t know what’s
wrong with me. All
my body aches. My
head, my stomach,
my knees. And
sometimes I have a
strange tingling
sensation in my left
cheek.
I’m worried it might
be cancer. I am not
eating well. And I’ve
Is there anything else lost about 5 kg this
bothering you? past month.
No, not at all.
I can see you are
worried. Do you
mind if I ask you a
few questions to
better understand
what you’re going
through?
No. And I don’t take
any medications. I
Do you have any
was fine until one
medical illness?
month ago.
Well, I don’t know if
it is related but 3
months ago, my
How did all of this
husband lost his job
start one month ago?
and we had to move
in with my in-laws.
No! I think it was 5
months ago! I don’t
know what is
happening! I keep on
forgetting things!
Anyway, they are
nice people but their
house is small and I
have 3 children. I
work all day long,
and I’m not eating
well. I am also very
worried about my
husband. He is
having a hard time
finding a job. Before I
knew it, I was not
eating well or
sleeping well. And
started having pain
all over my body.
Like what?
No, nothing like that.
No. It comes and
Besides pain, have goes especially when
you noticed anything I get angry with my
else? children. I feel like
my head is going to
explode and my
Like bleeding or hands start shaking.
cough or fever for
example?
Only at my children! I
You said that the
feel so bad. I don’t
pain is all over your
know what’s
body. Does it hurt
happening with me. I
more in any specific was never like that!
area? They are children, of
course, they want to
play and run around.
My little girl is only
one, I hardly feed
and clean her. I don’t
talk to her or play
with her anymore.
Not only that! I am
Hmm, ok. So the pain not cooking or
gets worse when you cleaning the house
are angry. Are you either!
often getting angry
lately?
Sorry if I am crying. I
don’t mean to get
angry with them but I
just can’t control it. I
feel so bad. Then I
start crying and
blaming myself.
Almost every day! I
feel that my heart I
so heavy. Anything
can make me cry.
My husband tries to
help me but nothing
I can see how much really works. I feel
this is affecting you. like nothing can
Would you like to really get me out of
talk about it? this sadness. When I
think about the
future, I feel like I
have no hope!
I keep thinking of all
the bad things that
No need to
happened to me in
apologize. It is fine to
the past. I don’t
cry here! Are you
seem to be able to
crying a lot lately?
enjoy anything. I
wonder how this is
going to be better in
When you are upset
the future. I don’t
what comforts you?
know if there is a
future!
I do wish sometimes
to sleep and never
wake up but I would
never end my own
life. It is against my
religion. And who
would take care of
my children?
Can you explain to
me what you mean No, not really. It just
when you say, “I that sometimes it
have no hope”? gets hard to handle. I
don’t know how I
would be able to
manage if it weren’t
for my husband.
Yes. He is a good
man. I don’t know
how he can stand me
these days. I’m sure
no one else would!
Sometimes when a
person goes through
My family! But they
such a hard time she
live far from here. I
might think that it
was telling my
would be easier to
husband that I would
die. Are you thinking
like to take the
about that?
children and go to
my parents for a
while.
Do you often wish
that you’d never I think so. But I
wake up? haven’t given it much
thought.
No.
So your husband is
an important support
for you?
I don’t know. I heard
on the radio the
other day that if you
feel tired and you
Besides your lose weight it might
husband is there any be cancer. So I came
other person that to see you.
you feel can give you
support?
No.
Would that be
possible? No, that’s about it
doctor. What do you
think I have?
Sarah, did you talk
Sure.
with anyone about
what are you going
through?
Sarah, what do you
think is happening
with you?
No of course not!!
No! I don’t like
medication at all!
Do you have any
other explanation for
what is happening to
you?
Is there anything else
that you would like
to share with me?
We will discuss that
soon. If you don’t
mind I still have a few
questions to ask,
No.
then I will do a
physical exam, and
afterwards we will
talk. Is that ok with
you?
Do you drink alcohol?
Sorry! I didn’t mean -Verbatim
to offend you; it is
-Non-verbal cues
just a routine
question that we ask
everyone. I have to
ask you more routine
questions as well. Do
you use any
medication to calm
yourself?
Ok, on last question.
You mentioned that
you have a one-year-
old baby. Do you
breastfeed her?
-Verbatim
-Non-verbal cues
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