• After 45 minutes of lecture –

discussion, the BSN III-A

Students will be able to
acquire knowledge, insight,
and proper attitude on the
concepts and nursing
interventions on clients with
Bipolar Disorder type I.
 Define what bipolar type 1 is
Trace the psychopathology of
bipolar type 1 disorder
Discuss mental status
examination and mini-mental
status examination
Present the process
recording during orientation,
working, and termination
phase
Present the nursing care plan
and discharge plan
 Mood Disorder - also called
affective disorder, are pervasive
alterations in emotions that are
manifested by depression, mania,
or both.

 Mania - is a distinct period during

which mood is abnormally and
persistently elevated, expansive,
or irritable.
 Hypomania - is a period of
abnormally and persistently
elevated, expansive, or irritable
mood and some other milder
symptoms of mania. It does not
impair ability to function and
there are no psychotic features.

 Bipolar 1 - one or more manic or

mixed episodes accompanied
with atleast one depressive
episode
Orientation
Phase
(Day 2)
 THERAPEUTIC
NURSE-PATIENT INTERACTION COMMUNICATION RATIONALE
TECHNIQUE

NURSE: (Verbal) Hello sir, good morning!

(Non-verbal) Open posture, moderate
voice tone, eye contact with patient. This shows that the nurse recognizes
GIVING RECOGNITION
the client as a person, as an individual.
PATIENT: Hello, good morning! Mingle?

NURSE: Sir, akoa diayng name kay si

Drexie. Ikaw sir, unsay name nimo? Informing the client allows him to know
GIVING INFORMATION what to expect and giving information
PATIENT: I’m Jerome Amores. Ikaw ako builds trust with the patient.
nurse?

NURSE: Yes Jerome. Akoy na assign

nimo na student nurse gikan sa UC ug
naa ko anhi makig storya nimo kutob
Thursday. Maaabot mi anhi alas 6 sa
buntag hangtod alas 10 sa buntag. Okay
ra nimo Jerome?
Informing the client allows him to know
GIVING INFORMATION what to expect and giving information
builds trust with the patient

PATIENT: Yes nurse Drex. Very okay.

NURSE: Naa ko diri para makigstorya nimo
ug andam maminaw sa imong mga ipang The nurse can offer his or her
storya. presence, interest and desire to
OFFERING SELF
understand in order to build rapport
PATIENT: Mao ba nurse Drex? with the patient.

NURSE: Oh, unsa man imong ganahan

storyaan karon?

PATIENT: Kuha sakog flowers Drex.

(Nilakaw) (nibalik nagdala ug flower) Flowers BROAD OPENING Make explicit that the client has the
for you, nurse Drex. lead in the interaction.

NURSE: Unsa may pagsabot nimo anang

paghatag nimo og flower nako?
PATIENT: Happy. Forever love. That’s me,
keep on looking for you.
The nurse should seek clarification. It
SEEKING
helps the client articulate thoughts,
INFORMATION
feeling and ideas more clearly.

NURSE: Imo ihatag sa ako ang flower para

ma-happy ko? Putting into words what the client has
VERBALIZING THE
implied or said indirectly tends to
IMPLIED
PATIENT: Yes, you and me forever. make the discussion less obscure.
NURSE: Jerome, nagstorya ta karon kay ako,
imoha rakong student nurse,
ikaw kay akong patient. Nurse-patient When it is obvious that the client is
PRESENTING
interaction ato gibuhat ron. misinterpreting reality, the nurse
REALITY
can indicate what is real.
PATIENT: *laughs* *sings a song*

NURSE: Unsa may imong nahunahunaan ug

nikanta man ka?
The nurse asks the client to
ENCOURAGING
PATIENT: Because I am happy. (tapping hands consider people and events in light
EXPRESSION
on the table) of his or her own values.

NURSE: Imoha lage gihapak-hapak imong

duha ka kamot sa table.

PATIENT: Nag-drum ko. Drumming the beat of

MAKING Sometimes clients cannot verbalize
my song. *sings again* Drex, naa man koy
OBSERVATION or make themselves understandable
owned songs, gikawat ni Jay, kanang singer
Cueshe nga band, ako nang kanta. Ilang gi-
steal. Stealing of property.
NURSE: Naa kay own composed songs unya
gikawat ni Jay sa Cueshe na banda?
PATIENT: Yes Jay is my cousin. He stole my
song.
NURSE: Really? Lisod lagi na siya tuohan?
PATIENT: *laughs* *sings a song from Cueshe
band*
NURSE: Jerome, hapit na 10:00 AM, pasabot
ana mahuman nata ug storya karon buntaga
kay manguli nami.
PATIENT: Drex, anhi lang ta. Ayaw ko biyae.
The nurse repeats what the client
has said in approximately of the
RESTATING
nearly the same words the client
has used.
Another means of responding to
VOICING DOUBT distortions of reality is to express
doubt.
Informing the client allows him to
GIVING
know what to expect. The nurse is
INFORMATION
functioning as a resource person.
NURSE: Jerome, student nurse ko na nagduty anhi
ug 4 ra ko ka oras mag stay anhi unya kay naabot
naman ko ug 4 ka oras anhi karon, maong muuli
nako ug nananghud ko nimo. The intent is to indicate an
PRESENTING alternative of line of thought for the
PATIENT: I will be sad Drex because you are not REALITY client to consider, not to “ convince”
here anymore. the client that he is wrong.

NURSE: Inig ka ugma mobalik na sad mi diri sa

Sotto, magstorya na sad ta balik ugma sa buntag
parehas sa ato gibuhat karon.
GIVING Informing the client allows him to
PATIENT: Sige. Ok. Bye bye Drexie. Drex… Drex… INFORMATION know what to expect.
*sings a song again*

NURSE: Salamat sa cooperation Jerome.

GIVING
Shows that the nurse recognize the
RECOGNITION
PATIENT: Salamat sad Drex. patient as a person, as an individual.
Working Phase
Day 1
 THERAPEUTIC
NURSE- PATIENT INTERACTION COMMUNICATION RATIONALE/ INTERPRETATION
TECNIQUE

NURSE: (Verbal) Good morning

Jerome, Kumusta ? (Non verbal) Open Shows that the nurse recognizes the
posture, moderate voice, eye contact client as a person as an individual.
with patient GIVING RECOGNITION

PATIENT: Oy Drex Good morning. Nice

to see you again.

NURSE: Naa ko karon para mag storya Nurse can offer his or her presence,
storya ta. Andam ko maminaw nimo. OFFERING SELF interest and desire to understand in
order to build rapport with the client.
PATIENT: Okay maam Drex

NURSE: Unsa man imo ganahan

storyaan karon? Make explicit that the client has the
BROAD OPENING lead in the interaction.
PATIENT:(Silence for awhile) Na
lovesick ko Drex

NURSE: Unsa may rason sa imong

pagka lovesick? Exploring can help the nurse
EXPLORING examine the issue fully.
PATIENT: Jealous. Sila naay mga ka
love-love, ako walay mo hug.
NURSE: Kinsa man ning mga tawhana ang imong gi
selosan? FOCUSING The nurse encourages the
client to concentrate his or
PATIENT: Kana mga student nurse diha. Mo storya her energies on a single point.
bisan kinsa laki.

NURSE: Mao ba ni ang rason sa pagbalibad nimo na The nurse asks to consider
maka student nurse ka ug lalaki? ENCOURAGING people and events in like of
EXPRESSION his or her own values.
PATIENT: Yes. Wa may lami ng mga laki. Ako ray
buangon ana mga liar.

NURSE: Unsa may hinungdan ug nakai ngon man Any problem or concern can
kag liar ug buangon ra ka sa mga laki? be better understood if
EXPLORING explored deeply.
PATIENT: (Silence) Ang girl mo storya nako ug mo
storya sad sa lain laki. Dili ko ganahan ana giilad ko.

NURSE: Ganahan ka nga ikaw ra storyaan ug wala na

lain laki e- entertain? Putting into words what the
VERBALIZING THE client has implied or said
PATIENT: Yes para dili ko mag selos. ( Hold his IMPLIED directly tends to make the
forehead, silence for few seconds) Drex mo inom discussion less obscure.
baya ko blood.
NURSE: Kanus-a man ka ni inom ug blood? Client may gain into cause
PLACING EVENT IN and effect behavior and
PATIENT: Dugay na. I forgot the date. I drunk Cathy’s TIME OR SEQUENCE consequences.
blood.
NURSE: Unsa may rason ug ni inom man ka ug When clients deal with
blood? topics superficially,
PATIENT: (Silence ug ni tan aw sa ubos) exploring can help them
NURSE: Imo gi inom ang blood ni Cathy. Kinsa man EXPLORING examine the issue more
na si Cathy? fully.
PATIENT: She’s my ex but dead.
NURSE: (Silence) (Eye contact with client) Encourages the client to
SILENCE verbalize, provided that it is
PATIENT: I killed her because of jealousy. interested and expectant.

NURSE: Imo siya gipatay.

RESTATING Encourages the client to
PATIENT: Yes. (Silence) joke. No.(Laugh) (Shakes continue talking about the
head) Drex dili ko ganahan ug mga police. topic.

NURSE: Unsa may rason ug dili man ka ganahan ug

police? Any problem or concern is
PATIENT: Bati kaayo oi. Patawag tawag ug idol, idol EXPLORING better understood if
ko nila unya dakpon diay, prisohon ko hatod kos explored deeply.
rehab anhi.

NURSE: Unsa man ang imong gibati paghatod nila ENCOURAGING Asks the client to consider
anhi? EXPRESSION people and events in light
PATIENT: I don’t trust them anymore. Plastic of his own values.
(Silence)
NURSE: Mahimo bang sultian ko nimo sa rason Encourages the client to
sa imong pagka admit anhi? concentrate his
energies on a single
PATIENT: (Silence) Dad brought me here, because FOCUSING point.
I raped my younger sister, 16 years old (Looks
down)

Encourages client to
NURSE: Unsa pa man lain nahitabo? continue if he or she is
GENERAL LEADS hesitant to continue the
PATIENT: I threw her in a tank. Ako gi chopchop topic.
iyang body then labay.

NURSE: Mahimo ba sultian ko nimo sa rason sa Any problem or concern

pag – rape nimo sa imong younger sister? EXPLORING is better understood if
explored.
PATIENT: Because I was obsessed for not having
sex.

Encourages the client to

NURSE: Unsa may gibati pag kahuman nimo ug ENCOURAGES make his own appraisal
rape niya? EXPRESSION rather than accept
opinions of others.
PATIENT: Happy. (Silence)
Encourages the client
NURSE: You are happy? REFLECTING to recognize and accept
his or her own feelings.
PATIENT: Yes (Silence)
NURSE: You raped your younger sister because you are
obsessed for not having sex unya gi chopchop nimo iyang Allows to report with the
lawas ug gilabay sa tanke unya imo gibati kay happy ka? Sakto same ideas and provides
ba ko sa akong nasabtan? SUMMARIZING a sense of closure at the
completion of each
PATIENT: Yes. Her soul enter my body Rina, every night that’s discussion.
why my tears are falling in my eyes before I sleep.

For verbal
NURSE: Ang imo gi pasabot kay maghilak ka every night? communication to be
CONSENSUAL meaningful, is essential
PATIENT: Yes. That’s why I lack of sleep. I got eyebags. VALIDATION that the words being
used have the same
meaning for both
participants.
PLACING The nurse may gain
NURSE: Did you cry again last night? EVENT IN TIME information about
OR SEQUENCE recurrent patterns or
PATIENT: Gabie, wala man (Silence) Drex tulog sa ko. themes in the clients
behavior or relationships.
ACCEPTING Acceptance indicates
NURSE: (Nodding) Sige Jerome katulog lang. Manguli nasad that the nurse has
mi kay hapit na 10 am. Salamat sa cooperation. followed the train of
thought.
PATIENT: Thank you too, Drex.
GIVING Let the client know what
INFORMATION to expect. It also builds
trust with the patient.
Working Phase
Day 2
 THERAPEUTIC
NURSE- PATIENT INTERACTION COMMUNICATION RATIONALE/ INTERPRETATION
TECNIQUE

Nurse: (Verbal) Good morning, Jerome

(Non-Verbal- Open posture, moderate Shows that the nurse recognizes the
voice, tone eye-contact with patient) client as a person as an individual.
GIVING RECOGNITION
Patient: Good morning, Last day na
ninyu run Drex?

Nurse: Oo, Jerome. Last day namo run Informing the client allows him to
na duty karun na week pero mubalik pa GIVING INFORMATION know what to expect and giving
mi diri next next week. information builds trust.

Patient: OK

Nurse: Kamusta man? Naa kay ganahan

storyahan nato karun? Makes explicit that the client has the
BROAD OPENING lead in the interaction.
Patient: Bisan unsa lang.

Nurse: Nakabantay ko Jerome nakailis Noting efforts the client has made all
na ka ug sinina. MAKING OBSERVATION the show that the nurse recognizes
the client as a person.
Patient: Yes. Naligo ko ganina 5AM.
Twice man ko maligo everyday, 5AM and
6AM.
Nurse: (Nodding) Indicates the nurse has
ACCEPTING heard and follow the
Patient: Asa man to imong mga boys Drex? train of thought.

Nurse: Kinsa man ni silang mga lakiha ang imong Any problem or concern
gipasabot? EXPLORING can be better
understand if explored
Patient: Your boyfriends ba. Si Bruno ug Dagohoy. Kit- in death.
an man ta mo nga hug-hug.

Nurse: Kanus-a man ni nahitabo na imo kong nakit-an The client may gain
nag hug nila? PLACING EVENT IN insight into cause-and-
TIME OR SEQUENCE effect behavior and
Patient: Basta kit-an ta mo. Naa man koy camera. Makita consequences,
nako tanan bisag tuas America.

Nurse: Wala man koy boyfriend Jerome ug wala sad koy The intent is to indicate
kaila na ang namo kay Bruno ug Dagohoy. an alternative line of
Patient: ( Laughs then he sings) Drex, Gae ko paper PRESENTING thought for the client to
magsuwat ko letter. REALITY consider, not to
Nurse: Sige Jerome. Iuli lang sa akoa ang paper ug convince the client that
ballpen ha. he is wrong.
Patient: Okay. ( writes something on my notebook) Dira
oh for you na Drex ang letter.
Nurse: Imong letter kay about doing good things because Putting into words what
God is watching. the client has implied of
VERBALIZING said indirectly tends to
Patient: Yes. He is watching. ( He’s tapping his hands on the THE IMPLIED make the discussion
table.) Drex? Kaila ka Rico Yan? Migo mi ato. Kaybaw kos less obscure.
rason nganu namatay to siya. Tungod to sa selos kay si
Claudine dagahn man ug laki.
When client deals with
Nurse: Kinsa man ang nagsulti nimo sa rason sa iyang topics superficially,
pagkamatay? EXPLORING exploring can help them
examine the issue for
Patient: Si Rico Yan mismo. His soul enter my body and told fully.
me

Indicates that the nurse

Nurse: Sige padayun. is listening and
GENERAL following what the client
Patient: Ana si Rico Yan, patyon nako si Aga kay uyab sad LEADS is saying without taking
na sila ni Claudine. Pero lisud man patyon si Aga kay away the initiative for
daghan man ug connections sa mga pulis. the interaction.

Nurse: Hmm. Mura man ug lisod katuohan, Jerome. This does not mean the
client will alter his point
Patient: Mga ubang laki ni Claudine ako gibarang. of view but at least the
VOICING DOUBT nurse will encourage
the client to reevaluate
what has happened.
Nurse: Gi-unsa man nimo pag barang? Mahimo bang imo ko When the client deals
sultian? EXPLORING with topics superficially,
exploring can help them
Patient: Gamit ug picture unya dagom, gitusok-tusok jud examine the issue more
matay sila uy. fully.

Nurse: Kauns-a man na nimo gibuhat ang pag-barang? PLACING Putting events in proper
EVENT IN TIME sequence helps both the
Patient: Long time ago naman. (Silence) Nakakaon na kas OR SEQUENCE nurse and client to see
Jolibee Drex? Service crew ko anha sauna. Sa Waterfront them in perspective.
Mactan kay waiter ko unya sa Ayala, supervisor ko.

Nurse: Unsa man imo trabaho as supervisor? Any problem or concern

EXPLORING can be better understood
Patient: Ako’y mu assign asa na station nako sila iassign ang if explored in depth.
mga crew. Naa man koy laptop pero gibaligya na nako

Nurse: Unsa may rason imo man gibaligya ang laptop? It is useful technique
FOCUSING when a client jumps from
Patient: Para mag grocery kos Ayala, Rustans. (Silence) one topic to another.

Nurse: Aw. Sige, Jerome. Anhi lang usa ta taman storya. Hapit Informing the client
na alas 10, manguli nami. Kita lang ta balik puhon sunod 2 ka GIVING allows him to know what
semana. INFORMATION to expect and giving
Patient: Sige Drex. Bye. information builds trust.
Working Phase
Day 3
 THERAPEUTIC
NURSE-PATIENT INTERACTION COMMUNICATION RATIONALE
TECHNIQUE

Nurse: (Verbal) Hello, Jerome. Good morning.

Kamusta naka? Kahinumdum paka nako? (Non-
Verbal) Open posture, moderate voice tone, eye Greeting the client by name
contact with patient. shows that the nurse
Giving Recognition
recognizes the client as a
Patient: Hi, good morning. Okay ra. Ikaw si person, as an individual
Charlene.

Nurse: Akong name Jerome kay si Drexie, taga UC.

Ako tu imong student nurse pag last, last week.
Naa ko diri sugod karun hangtod sa Huwebes. The nurse is functioning as a
resource person. Giving
Giving Information
Patient: Aw yeah, I remember you Drex. Wala lage information also builds trust
mo last week? with the client.

Nurse: Oo wala, kay klase man mi mao ng karun na

week na sad mi anhi. Informing the client of facts
Giving Information increases his or her
Patient: Aw, okay. knowledge about the topic.

Nurse: Magstoryaanay na sad ta karun. Andam

The nurse can offer his or her
ko maminaw nimo.
Offering Self presence, interest, and desire
to understand the client.
Patient: Monday ta karun Drex?
Nurse: Oo, Monday ta run, petsa February 12, 2018,
alas 9 sa buntag ang oras karun.
Informing the client of facts
Giving
Patient: Aw. (Silence ng haros ug dahon increases his or her
Information
sa kamunggay) knowledge about the topic.

Nurse: Unsaon man na nimo ang imong mga gipang

haros na dahons sa kamunggay?
Sometimes clients cannot
Making
Patient: (Silence) Ah, dahon ni para kuan ni herbal ba. verbalize or make themselves
Observations
Ako ni kan-on man Veggie. Salad man ni. (gikaon ang understood.
kamunggay)

Nurse: Jerome, unsa may taste ana imong gikaon? When clients deal with topics
superficially. Exploring can
Patient: Candy ni. Grapes in flavor. Tastes like grapes. Exploring
help them examine the issue
fully.
Nurse: Hmm. (Nodding)
Indicates the nurse has heard
Patient: Kuyogi ko adto tas taas mangayo ko ug brief. Accepting and followed the train of
Kuyawan kos egg cell nako sigeg uyog ma danlak ko. thought.

Nurse: Mangayo kag brief didto sa storage room?

Patient: Ay ayaw na lag diay. Ako ray muadto unya na. Let the client know that he or
(nag sige ug lingi-lingi) Drex, unsa ng obsess? Restating she communicated the idea
Ganahan ko lesson about obsess. effectively.
Nurse: Obsess kay kanang buhaton jud nimo tanan
makuha lang nimo ang imong gusto. Mura ra sad Facts increases the client’s
nag selfish ba. knowledge about a topic or
Giving Information
lets the client know what to
Patient: Aw lage. Naa koy ganahan mahitabo pero di expect.
jud mahitabo.

Nurse: Mahimo bang imo ko sultian kung unsa man

ang imong ganahan mahitabo pero dili mahitabo? Any problem or concern can
be better understood if
Exploring
Patient: Secret ra. Hidden man. Hidden secret. explored in depth.

Nurse: Nakasuway naka na na-obsess ka? Unsa may

imo gibati?
Doing so encourages the
Encouraging client to make his or her own
Patient: Kanang nay mag hug-hug ug loving-loving
Expression appraisal rather than to
sa makit-an nako. Ma sad ko, selos kay virgin paman
accept the opinion of others.
ko. Single pa jud ko. Wala ko kasuway naay uyab
Drex.
Nurse: Unsa may masulod sa imong huna-huna kung The nurse should seek
ma obsess ka? Unsa may imo buhaton? clarification throughout the
interactions. It helps the client
Seeking Information
Patient: Mag paint kog pistol, ako ipusil sa to articulate thoughts,
manghilabot. feelings, and ideas more
clearly.
Nurse: Imo bang pasabot kay patyon nimo ang mag
loving-loving sa imo atubangan?
It is essential that the words
Consensual
being used have the same
Patient: Yes. Dayun prisohon ko pero pagawson ra Validation
meaning for both participants.
man gihapon. (Silence. Gihubo ang t-shirt)
Nurse: Imo man gihubo imo sinina Jerome?

Patient: Init man. (Gipilo ang sinina). Mga after 2 Sometimes client cannot
Making
weeks discharge nako anhi, ni visit man ako verbalize or make themselves
Observation
manghod si Junjun Amores. understood.

Nurse: Kanus-a man ka gi visit sa imo manghud? The nurse may gain
Placing event in information about recurrent
Patient: Mga last week. Wala mo diri ato. time or sequence patterns or themes in the
client’s behavior or
relationships.
Nurse: Aw. Unsa may gi storya sa imo doctor about
discharge? Any problem or concern can
Exploring be better understood if
Patient: Wala pa. Wala pa mi nagkita man. Huwat explored in depth.
bitaw ko Dr. Villas para discharge na.
Nurse: Hmm. (Nodding). Ay sige Jerome, alas 10 na
man diay hapit. Ugma na sad ta mag storya balik kay Indicates the nurse has heard
karun manguli nami. Accepting and followed the train of
thought.
Patient: Okay nurse Drex. Una lang mo uli, musunod
ra ko ka discharge.

Nurse: Sige Jerome. See you tomorrow. Let’s the client know what to
Giving Information
expect.
Working Phase
Day 4
 THERAPEUTIC RATIONALE/
NURSE- PATIENT INTERACTION COMMUNICATION INTERPRETATION
TECHNIQUE

NURSE: (VERBAL) Hello Jerome. Good morning. Greeting the client by

Kamusta man ka? name, indicating that the
(NON VERBAL) Open posture, moderate voice tone, GIVING nurse recognizes the client
eye contact with patient. RECOGNATION as a person, as an
individual
PATIENT: Hello. Good morning Drex. Im okay ra.

NURSE: Wala man ka nag sul-ot og tshirt, wala ka gi Sometimes clients cannot
tugnaw? MAKING verbalize or make
OBSERVATION themselves understood
PATIENT: Wala man
NURSE: Ania na sad ko ara maminaw sa imong mga Nurse can offer her
ipang- storya karun adlawa. resence, interest and
OFFERING SELF desire to understand the
PATIENT: Okay Drex. client

NURSE: Unsa man imo ganahan storyaan karun? Makes explicit that the
client has the lead in the
PATIENT: Ahm. (Silent and looks down) Loveless ko BROAD OPENING interaction
Drex. Loveless

NURSE: Unsa man pasabot nimo sa imong giingun na Exploring can help the
loveless ka? nurse examine the issue of
EXPLORING the client more fully.
PATIENT: Walay mu hug nako. Wala man koy GF, single
man ko
NURSE: Imong asabot kay wala kay uyab, Magselos ka? The nurse should be as
VERBALIZING THE direct a ossible without
PATEINT: Yes Drex. (Silence) IMPLIED being unfeelingly blunt.

NURSE: Unsa may gibati na wala kay uyab? Encourages the client to
ENCOURGING make his or her own
PATIENT: Lonely ko anhi. Puro mga laki, di man ko EXPRESSION appraisal rather than to
bayot. accept others opinion

NURSE: Unsa may imong mgaways gibuhat ara dli Making definite plans
kaayo ka ma lonely? FORMULATING A increases the likelihood
PLAN OF ACTION that the client will cope
PATIENT: Ay, happy man sad ko anhi effectively.

NURSE: Unsa man rason sa imong pagka happy? The nurse can asks the
client to consider people
PATIENT: Because there is a nurse that will take care of ENCOURAGING and events in light of his or
me. EXPRESSION her own values.

NURSE: Who is this nurse that makes you happy? If the client expresses an
unwillingness to explore a
PATIENT: Secret. (Silence) Drex, naa kay paper bag? EXPLORING subject, however the nurse
Imoha na ni akong long coat. Ipadala ni nako nimo. must resect his or her
wishes
NURSE: Ganahan ka na imo ihatag sa akoa imong Encourages the client to
long coat. RESTATING continue or if the client has
PATIENT: Yes, because it is cold and there's no other been misunderstood, he can
than you. You are one of a kind nurse. clarify his thoughts.

NURSE: Unsa may rason ug nahimo man kog one of

a kind nurse para nimo? Any problem or concern can be
better understood if exlored in
PATIENT: Secret. You are brave. (Silence. Looks EXPLORING depth.
down on his feet.) Nianhi man ako mama ug
manghud si Junjun Amores, nagdala ug mcdo
chicken ug salad.

NURSE: Pag-anhi sa imong mama ug manghud, unsa The nurse can askk the client to
man imo gibati ug gi-istorya sa ilaha? Mahimo bang ENCOURAGING consider people and events in
imo ko sultian? EXPRESSION light of his or her own values.

PATIENT: I ate those foods ug I told them to Please

release me, please help me.

NURSE: Sige padayun lang ug storya, maminaw ko. Indicates that the nurse is
GENERAL listening and following what the
PATIENT: Niana ako mama na maybe next week LEADS client is ssaying.
makagawas nako, nag storya man sila ni Dr. Villas,
arion ra ko nila balik ug makagawas nako. Mag HAMA
man mi.
NURSE: Mahimo bang storyaan ko nimo ug
unsay pasabot nimo sa HAMA?
PATIENT: Home against medical advice ba.
Kanang makauli ra basta mapirmahan. Huwat na
lang mi Dr. Villas mupirma.
When the client deals with
topics superficially, exploring
EXPLORING can help them examine the
issue more fully.

NURSE: (Nodding)
Indicates that the nurse has
PATIENT: Oo. Nig human nimo duty ari, mga after ACCEPTING heard and followd the train of
1 week, discharge nako. (Silence, lies down on thought.
bed)

NURSE: Nihigda naka Jerome, ganahn naka

matulog?
PATIENT: Unta Drex. Okay ra nimo? Rainy man MAKING Sometimes client cannot
gud OBSERVATION verbalize or make themeselves
NURSE: Aw. Okay ra Jerome uy, katulog lang usa understood.
diha.
PATIENT: Okay (Puts ca as cover on his face)