Professional Documents
Culture Documents
Student
Feelings
Student
Thoughts
Nervous.
Anxious.
Unsure.
Lacking
confidence.
Hesitant.
Assured.
Am I doing
this right?
What do I
do if she
says no?
She is
coloring the
last thing
she wants is
to answer
my
questions.
You got this
Hana just
walk over
there and
start a
conversation
.
T
Analysis
/
N
T 1. Suggestions for
improvement. I
asked a closed
ended question
which gives them
the option of
saying no. I should
of informed
patient of
approximate time I
will be there and
what I will be
doing. Instead I
should have said,
Hi. My name is
Hana. I am a
student nurse and
will be on the unit
until 3 pm. I will
be talking to you
for the next few
minutes about
your hospital
stay.
Sitting down
across the
table facing
the patient.
Legs
uncrossed.
Open
posture.
Initiated eye
contact.
General
lead open
ended
question
Nervous
Anxious
Optimistic
Minimal
encourager
and open
ended
question
Tense
Nervous
Interested
Reflection
of feelings.
Engaged
Interested
Appropriate
eye contact.
Stopped
coloring.
Leaning over
paper.
I see youre
drawing a picture.
Can you tell me
about it?
It is picture for my
mom when she
comes to visit
later.
Leaning
slightly
toward the
patient.
Maintained
eye contact.
Moderate
voice tone.
Holding
drawing up.
Smiling.
Looking at
her drawing.
I noticed you
wrote Im sorry
Looking at
the drawing.
Im glad she
let me sit
down.
T 3. I was still
feeling nervous at
this point but was
optimistic because
Dont cross
the patient was
your arms
open to talking. I
and legs.
noticed when I sat
down next to the
She is doing
patient with an
okay and
open posture she
stopped
stopped coloring
coloring so
and made eye
maybe she is
contact. This
interested in
contributed to the
talking.
interaction in a
positive way
because there was
no longer a feeling
of authority
between us
because I was
sitting next to the
patient instead of
standing above the
patient.
I wonder
T 4. The patient was
what
no longer making
happened
eye contact.
between her
Instead, her
and her
interest was on her
mom.
drawing. This
showed me that
She stopped
her drawing was
looking at
more important to
me, I hope
her than our
she still
conversation.
wants to
Therefore, I felt it
talk.
would be
appropriate to
She
gather more
probably
information about
would rather
the drawing and
be drawing
its value to the
patient.
Am I
T 2. I asked her a
remaining
clarifying
on the drawing. It
seems you're
apologizing to your
mom. Is that
right?
Yeah.
Pointing to
the word
sorry.
Maintained
eye contact.
Open
posture.
Legs
uncrossed.
Feet on the
ground.
Checkout.
Curious
Is my body
language
open and
appropriate?
Ask more
questions
about what
she is
apologizing
for, maybe
that is the
reason for
being
admitted.
Looking at
the drawing.
Fidgeting
with markers.
Shrugged her
shoulders.
Oh.
I used to fight a lot
with my mom. That
is why I am here.
Nodding my
head.
Leaning
slightly
toward the
patient to
show
interest.
Maintain
eye contact.
Empathetic
tone and
body
language.
Slight eye
contact.
Leans over
table to grab
more
markers.
Looks down
at paper and
periodically
up at me.
calm and in
control.
Minimal
encourager
Curious
Uncertain
Concerned
Informed
I hope she
can tell Im
interested.
question; I should
have phrased the
statement as an
open-ended
questions that
allowed her to
express her
feelings. An open
ended question
such as, tell me
more about why
you're
apologizing?
would have been
more appropriate.
T 3. I used a
minimal
encourager hoping
the patient would
Am I
open up about her
making her
relationship with
nervous,
her mom. I didnt
maybe that
want the patient to
is why she
feel as though she
wont
was getting
maintain eye
bombarded with
contact?
questions so I
wanted to give her
She leaned
a chance to open
over to grab
up without being
her markers,
asked. I noticed
is she going
when I leaned
to start
toward the patient
coloring
and nodded my
again and
head she began to
not want to
talk a bit more.
talk.
Did I lean
too close to
her and
thats why
she reached
away to grab
markers?
It seems you are
saying you're in the
hospital because
you used to fight a
lot with your mom.
Is that right?
Yeah, we use to
argue all the time.
She was always
yelling at me about
school, my attitude,
just everything. And
I would get so mad
and yell back and
then the last time I
got so angry I hit
her.
How long ago was
this argument?
Almost two months
ago.
Maintaining
eye contact.
Open
posture.
Curious
facial
expression.
Validation/
Paraphrasi
ng with
checkout
Hopeful,
Motivated,
Calm,
Comfortabl
e
She is really
starting to
open up.
Open
ended
focused
question.
Calm
Interested
Optimistic
Engaged
Open
ended
focused
question
Uncertain
Uncomfort
able
Calm
Stopped
fidgeting
with markers.
Maintained
eye contact.
Open
posture.
Eye contact,
Open
posture.
Hands on
the table.
Paused
before
answering.
Concentrated
facial
expression.
Looked up
while
thinking
Tell me more
about how you
were feeling and
the thoughts you
Am I being
objective?
Used gentle
hand
gestures to
encourage
T 2. This would
have been a good
opportunity to
explore her
That was a
feelings during the
long pause.
argument and
Thought she
further explore
wasnt going
what triggers her
to answer.
anger. Instead of
just asking when
Keep it up
this argument
you're
occurred, I could
getting
have added, tell
somewhere.
me more about
how you were
feeling and the
thoughts you were
experiencing
during this
argument.
She seems
T 4. The patient was
like she is
getting sad when
sad and
talking about the
genuinely
argument she had
patient to
elaborate
more on her
feelings.
Nodding
head.
Interested
facial
expression.
Maintaining
eye contact.
Fidgeting
with her
markers
while
speaking.
Looking
down at
drawing.
Sad facial
expression
Concerned
facial
expression,
readjusted
myself in
chair
feels
bad for
hitting her
mom.
I hope I did
not upset her
talking
about this
argument.
Remain
calm.
Find out
how she
controls her
feelings and
thoughts
today.
Reflection
of feelings
Nervous
Tense
Uncomfort
able
Remained
looking down
at her paper.
Sad facial
expression.
Arms down
by her side
Leaning
slightly
Open
ended
Calm
Focused
She appears
to not be as
T 3. I noticed my
behavior changed
when the patient
became sad, my
voice changed and
I became nervous
and
uncomfortable, my
non verbal cues
contributed to the
interaction in a
negative way
because the patient
responded by
looking down and
putting her arms
down by her side.
I felt
uncomfortable so I
changed the
subject from the
past to the present
3. My tone of
voice changed
toward
patient.
Concentrated facial
expression.
Moderate
tone
focused
question
Concerned
Am I being
supportive?
I hope she
doesnt feel
uncomfortable
Looked up
made eye
contact.
Used small
hand gestures
when talking.
Smiled after
talking
Eye contact,
open posture,
moderate
tone, sitting
up
Open
ended
clarifying
question
Engaged
Calm
Optimistic
Maintain eye
contact.
Leaning back
on chair.
Open
posture.
The
conversation
is flowing
better.
I wonder
how much
longer she
will want to
talk to me.
Maintains
eye contact,
hunched
posture,
Hands on
table next to
drawing
Chin resting
on one hand.
Maintain
eye contact.
Sitting up
right.
sad
anymore.
Open
ended
focused
Question
Interested
Pleased
Happy
Comfortable
Good job on
getting a
good insight
of how she
will act
when she
gets upset.
I hope she
really feels
this way and
can walk
away when
T 2. I start a lot of
questions with
tell me, Instead
of continuing to
say, can you tell
me, I should have
stated, how
would you handle
a similar situation
now? or what
are some ways you
would handle a
similar situation
more mad.
Hands on
table.
Moderate
clear tone of
voice.
Smiling.
Open
posture.
Eye contact.
Legs and
arms
uncrossed.
she is upset.
Closed
statement.
Open
ended
focused
question,
Relaxed
Comfortable
Optimistic
Calm
I wonder if
she is good
about taking
them.
Holding
marker in one
hand tapping
it gently on
the desk.
Relaxed
posture.
Focused
facial
expression
Repositioned
in chair.
Sitting up
straight.
Concerned
and engaged
facial
expression.
Hands
placed on
table free of
any objects
and not
crossed.
Pause before
answering.
Deep facial
expression.
Thats good
she knows
her
medication.
She seems
relaxed,
thats good?
I feel
comfortable
and relaxed?
Dont look
to relaxed sit
up straight!
Open
ended
clarifying
question.
Interested
Hopeful
Comfortable
Dont
reposition
too much
she might
think you're
nervous.
Find out her
discharge
plans or
goals
Thats good
you brought
up her
medication
Her answer
seems
honest
now?
T 3. At this point I
was starting to feel
a lot more
comfortable and
my body language
was relaxed. My
tone of voice was
moderate and
clear. These nonverbal
communications
techniques
contributed to the
interaction in a
positive way. I
noticed that when
I relaxed in my
chair the patient
relaxed and
stopped fidgeting
Hands placed
on the table
free of any
objects.
Tell me your
Nodding
about your plans
head.
and goals you want Focused
to reach to get
facial
discharged.
expression.
Leaning
I want to be able to
forward in
go home soon so Im chair.
working on
controlling my
Focused
feelings and
facial
focusing in group. I contact.
have to stay at level Maintained
3 if I want to go
eye contact.
home.
Sitting up in
chair on the
edge of her
seat
Level 3?
When I got here I
started at level 1 but
if I follow directions
and go to class I get
points and go up a
level. But if I dont
follow directions or
dont go to class, I
go back to level 1.
Confused
facial
expression.
Leaning
forward to
show
interest.
Reaching for
a marker.
Slight eye
contact.
Rate of
speech
increased.
with markers.
Open
ended
focused
question
Interested
Calm
Restatement
Unsure
Calm
Curious
I wonder if
she wants to
be
discharged.
Thats great! Im
glad to hear you
will be able to
spend more time
together.
Silence
Hands
crossed.
Sitting
upright but
on edge of
the seat.
Slight eye
contact
Open
ended
focused
question.
Anxious
Rushed
She folded
up her
drawing she
is ready to
go.
Slight eye
contact, put
her markers
away and
folded up her
drawing
Eye contact
Smile
Open posture
Looking at
peers going
into group.
Holding
drawing,
sitting on
She is being
very
cooperative
but I think
she wants to
go to group.
Your hands
are crossed!
Stop being
so anxious,
stay calm
and thank
her and let
her go join
her group.
Closed
ended
statement,
opinion
Anxious
Uncertain
Rushed
This is
uncomfortable she
didnt say
anything.
She is ready
to go, say
thank you
and let her
I am engaged,
curious, and
interested in what
she had to say. I
was surprised how
effective
restatement and
body language can
be and allow the
patient to open up.
T 3.I started to feel
rushed because it
was getting close
to the time we get
off the unit, also
by the patients
body language I
was able to tell she
was get anxious to
join her peers
because group was
about to start. I
started to look
around and didnt
realize I had my
hands crossed and
I noticed these non
verbal cues made
the conversation
feel rushed and did
not flow as easily.
The patient also
stared around the
room and put her
coloring things
away.
N 1. I made a
communication
error, by observing
her body language
I could tell she
was getting
anxious and
wanted to join
group so I just
stated an opinion
edge of seat.
go.
That was a
good
conversation
while it
lasted.
I shouldnt
have said
my opinion.
Eye contact
Closing
Stood up
statement
slowly after
she stood up.
Positive
Pleased
Happy
That went
well.
Take a deep
Smiling
breath
Held her
drawing.
Stood up.
Smiling,
Waved bye.
Left in a
friendly
manner
Think of
ways to
improve for
next time.
peers go to group
and starting to
stand up, I felt
rushed to end the
conversation. My
response to her
non verbal cues
was to thank her
for speaking with
me and show her
by smiling and
saying goodbye in
a friendly manner.
I wanted her to
know that I
enjoyed our
conversation.