Patient’s Initials: V.G.
Age: 37
Student’s name: Andrea Nikki Moralde
INTERVIEWER
(What the student nurse said)
“Kuya Victor, good morning
po, kumusta po kayo?”
“Ok naman po ako kuya
Victor, mukang masigla po
kayo ngayon ah”
“Kamusta po ang tulog nyo?”
“Kumain po ba kayo ng
maayos.” Ano po ulam niyo
kanina?”
Date: August 14,2010
TECHNIQUE USED
(Label for the technique used,
T-Therapeutic, NT-Non
Therapeutic)
Giving Recognition (T)
Giving recognition(T)
Seeking information(T)
Seeking information(T)
Seeking information(T)
PATIENT
VERBALIZATION
(What the patient said and
non verbal response)
“Mabuti naman ako .”
Eh ikaw kamusta?”
NV: the patient smile
“Ayos naman, nakatulog
naman.”
“Opo kumain,kanina hotdog
ang inulam naming kanina.”
PATIENT ANALYSIS
(Patient’s congruency of its
actions and words)
The patient is in a good
condition for today. He has a
clean physical appearance and
wore his clothes well also. It
shows that he is not in the
psychosis phase at this moment
The patient verbalized
that he had a good sleeping
pattern he was also able to
recall if what he eat this
morning. The patient with
mental illness may not sleep or
eat for day therefore the nurse
must assess the clients usual
pattern of eating and sleeping
then determine how those
pattern have changed.( Chow
and Cummings ,2000;
Videbeck )

“Oh kuya Victor tayo po muna
mag sipilyo at maghilamos
sasamahan ko po kayo, ako po
ang magdadala ng gamit nyo.”
After the morning care, the
student nurse accompany the
patient to the social hall.
Offering self (T) “Nakapag sipilyo na ako kanina
at nakapaligo pero magsisipilyo
ulit ako.”
The patient can do his
activities of daily living all by
his self as he verbalized that he
already done bathing and his
grooming was neat. This means
that his ability to do activities
of daily living is not affected by
his mental illness.
According to the theory of
Dorothea Orem, self care is a
learned behavior and deliberate
action in responce to a need.
Self care is performed by
mature and and maturing
individuals. When someone
else must perform a self care
need,it is termed dependent
care. .( Chow and Cummings ,
2000; Videbeck )

“Hayan kuya Victor, very
good! Tara sa social hall, may
bago po tayong activity na
gagawin.”
Giving Recognition (T) No response
Giving information (T) NV: The patient follows the
student nurse.
Silence or long pauses in
communication may indicate
many different things. The
client may be depressed and
struggling to find the energy to
talk. Sometimes pauses indicate
the client is thoughtfully
considering the question before
responding. At times, the client
may seem to be lost in his or
her own thoughts and not
paying attention to the nurse. It
is important to allow the client
sufficient time to respond, even
if it seems like a long time.
(Vedebeck 2nd Edition)
“Kuya Victor, alam nyo po ba
kung anong araw na ngayon?”
“Wow very good kuya Victor,
ano po ang gusto nyo na pag
usapan natin ngayon”?
Seeking information(T) “Sabado ngayon” The patient was able to
Orienting (T) verbalized the current day and
event, which mean that he is
conscious and aware to that
specific moment.
Giving recognition (T) “ Ma’am, gusto ko na po The patient has established
Broad Opening (T) umuwi, saka....” rapport, as manifested by his
NV: The patient eye to eye eye to eye contact with the
contact. student nurse. The nurse-client
relationship requires trust. Trust
when the client is confident in
the nurse and the nurse
presence convey integrity and
reliability. Trust develops
when the client believes that the
nurse will be consistent in his
or her words and actions and
can be relied on to do what he
or she say. Some behaviors, the
nurse can exhibit to help build
the client’s trust include being
friendly, caring, interested,
understanding and consistent;
keeping promises; and listening
to and being honest with the
client. (Vedebeck 2nd Edition)
“Saka ano po yun kuya Victor? Exploring (T)
Sige po sabihin nyo lang po
saken at nakikinig po ako,uupo
po ako dito sa tabi nyo, ikwento
nyo lang po. Wag po kayong
mahiya.”
“Kuya Victor, hindi naman po
sa nagdadamot ako, kasi po
hindi po talaga kami pwede
magbigay ng pera. Bawal po
kasi yun samen at saka
studyante pa lang po ako kuya
Victor, wala pa po akong
trabaho. Pag pasensyahan nyo
na po, naiintindihan po ba
ninyo?”
“ At saka.. ma’am pwede po
Offering self (T) bang humingi ng kaunting
tulong? Kahit bente lang po,
pamasahe kop o pauwi.”
NV: the patient with eye to eye
contact.
“ Ma’am opo naiintindihan ko
ho, hindi naman po sa akin
Giving information (T) ibibigay ang pera. Sa nurse po,
Consensual Validation (T) kay ma’am Lolith ho, Ma’am
gusto ko na ho talaga makauwi.
Sabi ho saken pwede na daw ho
akong umuwi kung may
pamasahe na daw ho ako.
Ma’am kahit tulong na lang ho
ninyo sakin yun.”
The patient already establish
rapport as manifested by his
eye to eye contact and telling to
the student nurse what he
wanted to say. Eye contact,
looking into the other person’s
eyes during communication, is
use to assess the other person
and the environment and to
indicate whose turn is to speak;
It increases during listening but
decreases while speaking.
While maintaining good eye
contact is usually desirable, it is
important that the nurse doesn’t
“stare” at the client. (Vedebeck
2nd Edition)
The patient able to understand
what the student nurse told and
explained. Informing the facts
that the client know what to be
expect.
“Ahh.. gusto nyo na pong
umuwi pero wala po kayong
pamasahe.”
“Ipapaalam ko po muna kuya
Victor sa prof. namin yung
sinabi nyo saka po sa nurse,
pero hindi kop o maipapangako
sa inyo na makapagbibigay po
ako ha.”
After a while…..
“Kuya bp ko po muna
kayo,akina po muna yung
kaliwang braso nyo para
mamaya magsisimula na tayo
sa palaro.”
NV: The patients nods with eye The patient able to understand
Restating (T) to eye contact. what the student nurse said.
Eye contact, looking into the
other person’s eyes during
communication, is use to assess
the other person and the
environment and to indicate
whose turn is to speak; It
increases during listening but
decreases while speaking.
While maintaining good eye
contact is usually desirable, it is
important that the nurse doesn’t
“stare” at the client. (Vedebeck
2nd Edition)
Formulating a Plan (T) “Oho, maraming salamat po The patient was glad on what
ma’am.”
he hear as he show his smile on
NV: The patient smile his student nurse. Facial
expression such as smile
connects words to illustrate
meaning; this connection
demonstrates the speaker’s
Giving information (T) NV: Lending his arm to the
internal dialogue. An
student nurse with a smile.
expressive face portrays the
person’s moment-by-moment

After the few minutes the play
therapy had started…
“Kuya Victor,mukang excited
na po kayo ah, Sali po kayo sa
mga palaro ha..”
thoughts, feelings and needs.
These expressions may be
evident even when the person
does not want to reveal his
emotions. (Arnold and
Boggs,1999)
Making Observations (T) NV: The patient nods and smile The patient understand the
with an eye to eye contact. instructions given by the
student nurse and he shows
willingness to participated.The
patient understand and show
willingness to join the activity.
Facial expression such as smile
connects words to illustrate
meaning; this connection
demonstrates the speaker’s
internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
These expressions may be
evident even when the person
does not want to reveal his

“Oh kuya Victor, ano nga ang
kailangang gawin para
makatanggap ka ng premyo?”
After the therapy, the student
nurse inform the patient that the
activity is finished and they are
going to take their meriendas.
“Oh kuya Victor, Tapos na po
ang palaro, tayo po ay kakain
na.. Napagod po ba kayo?
Masaya po ba?”
Formulating a plan of action
(T)
Seeking information (T)
“Gagalingan ko po ma’am para
manalo tayo.Para madaming
premyo mamaya.”
“Hindi naman po
ma’am..masaya…Kakain na”
NV: The patient smile to the
student nurse.
emotions. (Videbeck 2nd
Edition)
The patient was able to
verbalized the things that he
need to do well to be able to
have his reward. This illustrate
BF Skinner Operant
Conditioning wherein
“Behavior that is rewarded with
reinforcers tend to recur.
The patient got so excited
when the student nurse told
him about the foods that was
prepared for this day. This
illustrate the basic drives or
needs that motivate people. The
most basic needs-the

“Ah hindi naman po kayo
napagod at Masaya..,Kuya
Victor, dyan ka lang muna ha
kukuha lang ako ng pagkain
mo.”
Restating (T)
NV: The patient nods with an
eye to eye contact.
physiologic needs of foods
must be met first it would
dominate the persons behavior.
(Abraham Maslow Theory;
Videbeck 2006)
The patient understands the
student nurse instructions Trust
develops when the client
believes that the nurse will be
consistent in his or her words
and actions and can be relied on
to do what he or she say. Some
behaviors, the nurse can exhibit
to help build the client’s trust
include being friendly, caring,
interested, understanding and
consistent; keeping promises;
and listening to and being
honest with the client.
(Vedebeck 2nd Edition).
 “Salamat po ma’am.’ The patient understand the
“Oh kuya Victor heto na po ang Offering self (T)
instructions given by the
pagkain nyo.Kumain lang po NV: The patient smile to the
kayo at ako na po ang student nurse. student nurse. Facial expression
maghahawak nitong juice
such as smile connects words to
ninyo.”
illustrate meaning; this
connection demonstrates the
speaker’s internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
After eating…. Seeking information (T) “Oho masarap ho.” These expressions may be
NV: patient smile and nods
evident even when the person
“Kuya Victor pabalik nap o
tayo sa ward,… kumusta does not want to reveal his
naman po ang lasa ng pagkain
emotions. (Arnold and
nyo ngayon? Masarap po ba?”
Boggs,1999)
“Wow! Mukang nasarapan nga Giving Recognition (T) “opo ma’am…salamat” He is happy on the food that
kayo sa pagkain na inihanda
the nurse gives to him and he
namin ah,.. Kuya Victor, oras NV: The patient smile to the
na po para mag paalam..Oh student nurse. was satisfied. The patient and
pano po ba yan, next week na
the nurses established rapport
lang po ulit ha.”
as evidenced by him being open
to the student nurse and smiling
while talking. Facial expression
such as smile connects words to
illustrate meaning; this
connection demonstrates the
speaker’s internal dialogue. An
expressive face portrays the
person’s moment-by-moment
thoughts, feelings and needs.
These expressions may be
evident even when the person
does not want to reveal his
emotions. (Arnold and
Boggs,1999)
gg
Interpersonal Communication Process Recording

General Objectives:

• To establish a nurse-client relationship.

• To guide the client toward identifying a plan of action to a satisfying and socially acceptable resolution.

Specific Objectives:

• To establish nurse-patient relationship.

• To maintained trust and rapport with the client.

• To facilitate the clients expression of thoughts and feelings.

• To promote and improve therapeutic communication.

Evaluation:
This was our third day at CCMH but our second day to handle and mingle with our patient. We get
the patient from the ward and let them to brush teeth and wash their face. I’ve noticed that my patient
was so excited for the new activity. When he hear about the play therapy, I see to his face the smile and
excitement and I asked to him what comes to his mind when I say play therapy and he said that he think
of prizes.

During the play therapy that we conducted, He was so active and often participated to different
games. A few minutes later, upon observing my client, I noticed that my patient seem to be lost in his own
thoughts and not paying attention to the one who are speaking in the front. At this situation, it is important
to allow the patient to have sufficient time to concentrate or respond even it seems like a long time.

For the third day that I met my patient after our conversation, there’s an eager feeling that I want to
be part of his healing process. I put myself on him, what if I am on his situation. I hope that during my duty
on CCMH with V.G., I can see the progress on him becoming good and lessen the onset of schizophrenia.
It’s a stressful day, but a productive and happy day also. I hope that I can learn more from V.G. and also
from the other patient of CCMH.
 Republic of the Philippines

CAVITE STATE UNIVERSITY

(CvSU)

Don Severino de las Alas Campus

Indang, Cavite, Philippines

COLLEGE OF NURSING

INTERPERSONAL COMMUNICATION
PROCESS RECORDING
Submitted by:

Moralde, Andrea Nikki B.

Submitted to:

MR. ROLANDO P. ANTONIO

August 2010