NPI Edited Final

8/13/2019 NPI Edited Final

1/17

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


2/17

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


3/17

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


4/17

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


5/17

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


6/17

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


7/17

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


8/17

person has Poor

concentration.


9/17


10/17

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.


11/17

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


12/17

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


13/17

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


14/17

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.


15/17

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


16/17

will be excused

the problem he

had created.


17/17

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