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Patients Name: Sta. Rita, Francisco Diagnosis: Schizophrenia, Undifferentiated
Age: 29 years old Institution: Mindanao Center of Psychiatry and Behavioral Medicine
Sex: Male Date & Time: February 19, 2013 @ 2:30 PM
INITIAL NURSE- PATIENT INTERACTION
Date and
Time
Nurse Patient Nurses Feelings
& Thoughts
Analysis Interpretation
Verbal Non Verbal Verbal Non Verbal
February
19, 2013
@ 2:30
PM
Kabalo gyud
ka sa
imohang
kondisyon?
Establishes
eye contact
O uy kabalo
kaayo.
Bipolar man
ang akoang
sakit.
Cannot
maintain eye
contact
I had already
viewed the
patients chart
before having
the interaction
with the patient.
Having the idea
that his
diagnosis is
SchizophreniaUndifferentiated,
I pity the patient
because his
knowledge about
his condition is
Illogical
Thinking
The patient
concluded that he
has Bipolar
Disorder but
when asked how
he got such idea,
he said that he
just knows it and
just concluded the
condition just byhimself without
any consultation
and confirmation
from his
physician. Such
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wrong. As a
student nurse
interviewing
him, I asked him
how did he get
such idea and I
asked him to
elaborate his
feelings and
thoughts about
having Bipolar
disorder.
manifestation is
called Illogical
Thinking.
Illogical thinking,
according to
Kaplan is a form
of thinking that
contains
erroneous
conclusions.
Niana man
ka na tong
ikatulo ninyo
na igsuon kay
namatay.
Unsa iyang
gikamatyan?
Close mo ato
niya?
Continues to
maintain eye
contact
Aw sa
tiunod gyud
wala nako
kahinumdom
sa tanan. Lahi
nalang atong
storyahan.
Kadtong sa
una ba kabalo
naman gyud
Looks away
from the
student nurse
I felt sad and at
the same time
uncomfortable
knowing that I
have to ask such
emotional and
sensitive topic to
him. I didnt
force him to
answer my
Suppression Patient
suppressed details
about him and his
brothers
relationship in the
past. He didnt
answer to a
sensitive topic
because this may
bring out
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ko na lahi ko.
Kadtong
nagadako na
ko di guyd
nako mafeel
na mabelong
ko sa isa ka
grupo.
question because
it seems that my
question is too
sensitive for
him. This
question may
trigger some
emotions to him
and maybe some
of these
emotions wont
be very pleasing.
emotional
memories from
the past. He just
then asked me if
we could just
change the topic
into what he feels
growing up. He
said that he feels
and he already
knows that he
doesnt belong to
a group.
According to
Keltner, patient
was using
Suppression as
defence
mechanism.
Suppression is
Conscious
exclusion of
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unacceptable
desires, thoughts,
or memories from
the mind.
Niana man
ka na naa kay
madunggan
na mga
tingog.
Makadungog
ka nila
karon?
Conveys a
serious facial
expression
and maintains
eye contact
Oo
makadungog.
Ginatawag ko
nila.
Looks at an
empty space
I personally pity
the patient
because of his
disturbance in
perception. I
explored more
about his answer
and I asked him
what they are
saying to him.
Auditory
Hallucination
Patient verbalized
hearing voices
calling out his
name. Such
disturbance in
perception
wherein there is
false perception
of sound, usually
voices, and also
noises is called
AuditoryHallucination.
Johnny, tara
didto ta oh
kay akoang
kuhaon
With pleasant
tone of voice;
maintains eye
contact
Ay dili lang
ko. Diri lang
ko. Di ko
gusto
Looks away
from the
student nurse
I got very
disappointed on
his response. I
was assuming
Negativism When asked to
move on the
allotted place
where the
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imohang
timbang.
Kailangan
man gud na
siya para
masiguro na
tama imong
timbang sa
imohang
katas-on.
mahibal-an
akoang
timbang.
that he would
follow my
instructions but
he refused it
because he said
that he doesnt
want to move
from his place
and that he
doesnt want to
know his weight.
Because, I
respect his
decision to
refuse from
having taken his
weight, I didnt
force him to do
so but instead I
just continued
the interview.
weighing scale
was located,
patient refused to
be moved from
his place. He said
that he doesnt
want to know his
weight.
According to
Kaplan, patient
exhibits
negativism.
Negativism is the
motiveless
resistance to all
attempts to be
moved or to all
instructions.
Unsa diay Looks at the Ako di man With eye As the student Circumstantiality Patient responded
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imong
paborito na
subject
Johnny?
patient with
eye contact
gyud ta ko
gusto mag-
theology,
gusto man ko
mag-
accountancy.
Nindot man
ang
accountancy
kay sigeg
solve ba.
Nindot man
sad hiuon ang
theok ay
challenging.
Mao ganahan
ko ug
accountancy
kay mahilig
man kog
math gud.
contact to the
student nurse
nurse tasked to
interview the
patient, I was
pretty confused
of his answers.
Basically, I
thought that he
would not get
into his point but
I still allowed
him to continue
answering and I
waited patiently
for him to arrive
to the accurate
response.
to my question
but at first his
answers were
very confusing
and that it didnt
answer my
question. But at
the end, he
managed to get to
the appropriate
answer to the
question. The
indirect speech
that is delayed in
reaching to the
point, according
to Kaplan, is
Circumstantiality.
So ganahan Smiles at Ang 100- 7 Seems I really pity the Poor Knowing that
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diay kag math
kay mag-
accountancy
gud unta ka?
Sige daw
testingan daw
nato imong
skills sa math.
Iminus daw
ang 7 sa 100.
Tapos ang
answer ana
iminus napud
sa 7.
patient;
maintains eye
contact
kay 93.
Sunod ana
93-7.
Ummmm. Di
naman ko
kabalo uy.
Maglibog na
ko.
confused;
looks at the
empty space
patient because
he said that he
wanted to be an
accountant but
when asked to
subtract 7 from
93, he could no
longer answer it
because he was
very confused.
Because I
wanted to give
him another
chance. I asked
him again to
subtract 7 from
93 but still he
could not give
an answer to my
question.
Concentration patient has
acquired
education until
third year college
and he said that
he wanted to be
an accountant, I
was assuming that
he has broad
knowledge on
calculations. But
when asked to
subtract 7 from
93, he could not
give an answer to
that. According to
Kaplan, when a
person has
difficulty
concentrating on
mathematical
calculations that
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person has Poor
concentration.
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Patients Name: Sta. Rita, Francisco Diagnosis: Schizophrenia, Undifferentiated
Age: 29 years old Institution: Mindanao Center of Psychiatry and Behavioral Medicine
Sex: Male Date & Time: February 25 2013 @ 1:30PM
FINAL NURSE- PATIENT INTERACTION
Date and
Time
Nurse Patient Nurses Feelings
& Thoughts
Analysis Interpretation
Verbal Non Verbal Verbal Non Verbal
February
25 2013
@
1:30PM
@
patients
residence
Unsa tong
imohang
giingon
ganiha na
mag-ampo ka
sa bato nga
nay kandila?
Looks at the
student nurse
with eye
contact
Kuan sa
cave man to
nagatoo gyud
kayo ko ana
na inig mag-
ampo ko
didto gamit
ang kandila
na
nakapatong
sa bato.
Matinuod
man gyud na,
tinuod gyud
na.
Stands up
and look at
the student
nurse
I felt upon
listening to him
because I dont
share the same
beliefs with him.
Right after
saying that to
me, I told him to
elaborate his
thoughts and
beliefs about
praying at the
cave.
Bizarre Delusion Patient really
believes that
when he prays in
a cave, God
would really grant
his wish to see
things which he
did not see
before. According
to Kaplan, such
weird and absurd
false belief is
called Bizarre
Delusion.
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Unsa pa
imong
gihuna- huna
karon. Sultihi
ko Johnny?
Maintains
eye contact
Kabalo ba
ka maam na
kanang silhig
mulupad
mana. Nah
mulupad
gyud na!
Patient looks
and points at
the broom
It felt weird and
strange knowing
that he was
thinking that the
broom was
flying when I
fact it didnt. I
told him I didnt
see the broom
fly. It was just
there, placed
still and intact
on the floor.
Magical Thinking Patient was
thinking that the
broom would fly.
This disturbance
in the form of
thinking
according to
Kaplan is called
Magical thinking.
Magical thinking
is when a
persons thoughts,
words, or actions
assume power.
Inig kanang
sa grupo sa
skwelahan or
sa dula unsa
imong gusto
follower ka o
leader?
Continues to
maintain eye
contact
Syempre
leader! Dili
man ko gusto
magsunud-
sunod gusto
nako leader
gyud ko.
Usahay gani
Looks at the
student nurse
with eye
contact
I was pretty
stunned on how
he answered my
question with all
of his
confidence and
arrogance. I
asked him more
Delusion of
Grandeur
When asked if he
is the leader or
the follower in a
group during
class activities
and games,
patient
immediately and
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feel nako
Ginoo ko.
about why he
sometimes feels
that he is God
and why he
always wants to
be the leader.
proudly said that
he is the leader
and at times he
feels like he is
God. Evidently,
patient is
manifesting
Delusion of
Grandeur wherein
Kaplan had
mentioned that it
is the exaggerated
conception of
ones importance,
power or identity.
Johnny, diba
naa man koy
giingon na
mga butang
na imohang
hinumduman
kay
Looks at the
patient;
maintains eye
contact
Kuan. Mao
ba tong mga
gulay? Hala
maam
nakalimot
naman ko.
Naglibog ko
Seems
confused;
scratches
head
Beforehand, I
told the patient
to remember
these 3 fruits
namely, papaya,
mango and
banana. After
Impaired
Immediate
Retention
When asked to
memorize those
three fruits, after
just 3 minutes he
could not
remember them
all. According to
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pagkatiud-
tiud akoa
kang
pangutan-on
ato? Unsa
gani to?
kung unsa
to.
about 3 minutes,
he could not
recall them. He
seemed to be
confused and
asked me if
those things
were vegetables.
In that very
instance, I pity
him because for
just 3 minutes he
could no longer
remember them.
His inability to
recall things is
worse than that
with my
grandmother so I
really pity the
patient.
Kaplan, the
disturbance of
memory
manifested by the
patient is
Immediate
Retention. This
happens when the
patient cannot
anymore recall
the three things
that are similar to
each other in a
given time.
Aw ganahan Maintains Kuan. Wala Maintains I pity the patient Poor Because of
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diay kag
math? Dati
gipasubtract
man tika,
karon
addition
nasad daw.
Unsay
answer sa 10
plus 10?
eye contact naman ko
kahinumdom.
Malibog
nako sa una
hawud man
ko ana.
eye contact
with the
student nurse;
seems
confused
because when he
became
schizophrenic,
he already has
difficulty
concentrating on
things such as
calculating
numbers.
Although he had
not answered my
question at first,
I gave him
another chance
but still he
cannot answer
my question.
Concentration patients mental
disorder, he can
no longer
concentrate on
things including
calculations of
numbers, even the
simplest ones like
10 plus 10.
Patient
manifested Poor
concentration.
According to
Kaplan, when a
person has a hard
time answering
mathematical
problems using
concentration,
that person has
poor
concentration.
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Isa ka
semana ra
diay ang
pinakadugay
nimo nga
trabaho?
Ngano man?
Maintains
eye contact
O isa ka
semana ra
gyud. Kuan
man gud sila
man ang
naay
problema,
dili man
ako.
Maintains
eye contact
with the
student nurse;
Upon hearing
these reasons, I
was very
bothered
because he
insisted that he
hadnt done
anything that
made him lose
his job but rather
he blamed the
co- workers in
his different
jobs. He insisted
that it was their
fault that he lose
his jobs.
Projection Patient insisted
and reasoned out
that he had done
nothing wrong in
order for him to
quit or lose his
job for just a
week. He blamed
the problem to his
co- workers, he
was saying that it
was their fault not
his. Patient
exhibits
Projection.
According to
Kaplan,
Projection
happens when a
mentally ill
person blames
others so that he
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will be excused
the problem he
had created.
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