Patient’s Name: Lei Apollo Suarez

Address: San Juan City

Age: 35
Admitting Diagnosis: Social Anxiety Disorder

Orientation Phase Objectives:

• To establish a therapeutic nurse–patient relationship through trust, respect, and professional
communication
• To introduce self and clarify the role of the student nurse in the care process
• To explain the purpose, duration, and structure of the interaction to reduce uncertainty and
anxiety
• To set clear boundaries, including confidentiality and limitations of the nurse–patient
relationship
• To assess the patient’s initial emotional state, level of anxiety, and willingness to participate in
the interaction
• To create a safe, non-threatening, and supportive environment that encourages openness
• To begin developing rapport by demonstrating empathy, active listening, and acceptance
 STUDENT NURSE ANALYSIS PATIENT’S RESPONSE ANALYSIS

“Magandang umaga, Kuya Giving Recognition & “Ah….opo.” The patient responds briefly,
Lei. Ako si Kenneth, student Offering Self – Introduces indicating mild hesitation
nurse mula sa Golden Gate self and acknowledges the and anxiety.
Colleges, isa sa mga mag- patient, showing availability
aaral na naka-assign dito. and willingness to engage in
Maaari ba kitang a therapeutic relationship.
makausap?”

“Ako ang magiging student Giving Information & “Medyo kinakabahan po ako The patient verbalizes
nurse mo simula ngayong Establishing Trust – makipag-usap….” anxiety, which is consistent
Lunes, April 13, 2026 Clarifies time boundaries, with social anxiety
hanggang araw ng purpose, and confidentiality symptoms.
Biyernes, April 17, 2026. to reduce uncertainty and
Tuwing 10 am ng umaga build trust.
hanggang 12 pm ng
tanghali dito sa conference
room. Layunin ng ating pag-
uusap na matulungan kang
maipahayag ang iyong
nararamdaman. Lahat ng
iyong sasabihin ay
mananatiling
kumpidensyal.”

“Nauunawaan ko na Empathy & Offering General “Hindi po ako sanay The patient expresses
maaaring hindi ito Leads – Validates feelings makipag-usap sa ibang difficulty with social
komportable para sa iyo. and allows the patient tao….” interaction, indicating
Maaari kang magsalita sa control over pacing, avoidance behavior.
sarili mong bilis.” reducing pressure.
“Narito ako upang makinig Providing Emotional “Sige po… susubukan ko.” The patient shows slight
at hindi upang husgahan Support & Acceptance – willingness to participate,
ka.” Reassures the patient of a indicating developing trust.
non-judgmental
environment.

“Kuya Lei, ngayon po ay Revalidating Contact – “Ganun po ba, sige po The patient demonstrates
oras na naming upang Helping the patient maraming salamat po” understanding of the
magpaalam sa aming recognize the current and agreement and expresses
pasyente. Bukas po ay observable situation by acceptance that the nurse
babalik ulit kami ng 10 ng affirming and re-establishing will return to continue the
umaga at dito po tayo ulit the agreement. activity.
magkikita at mag-uusap sa
room na ito”

“Magkikita tayong muli Providing Continuity & “Sige po.” The patient accepts the
bukas upang ipagpatuloy Closure – Ensures follow-up termination appropriately.
ang iyong progreso.” and proper termination of
interaction.
Patient’s Name: Lei Apollo Suarez
Address: San Juan City
Age: 35
Admitting Diagnosis: Social Anxiety Disorder

Working Phase Objectives:

• To facilitate the expression of the patient’s thoughts, feelings, and concerns related to social
situations
• To identify triggers, patterns, and underlying causes of the patient’s social anxiety
• To explore maladaptive thoughts, beliefs, and fears, particularly fear of negative evaluation and
embarrassment
• To assess behavioral responses such as avoidance and withdrawal in social interactions
• To enhance the patient’s self-awareness regarding emotional and physiological responses to
anxiety
• To assist the patient in identifying strengths and previous successful coping experiences
• To promote the development of adaptive coping strategies, including gradual exposure and self-
preparation techniques
• To encourage problem-solving and participation in planning realistic and achievable goals
• To provide emotional support, validation, and reinforcement to build the patient’s confidence
and self-esteem
 STUDENT NURSE ANALYSIS PATIENT’S RESPONSE ANALYSIS

“Magandang umaga ulit kuya Giving Recognition – A “Magandang umaga, Giving Recognition – A
Lei” demonstration of recognizing Kenneth” demonstration of
and expressing awareness. recognizing and
expressing awareness.

Giving Information –
“Ngayon ay araw ng Martes, “Hehe..Okay po. Salamat The patient was able to
Providing facts that the
April 14, 2026. Tayo po ay po at nagkita po tayong acknowledge the nurse’s
patient needs.
muling maguusap at muli” Patient verbalized presence. He utilized non-
magkwekwentuhan” while smiling. verbal communication like
smiling while responding
to the nurse.

“Kumusta naman po kayo Encouraging Expression of “Ako’y nag-aalala dahil

The patient responded by
ngayon?” Feelings – Allows the patient nakakaramdam ako ng
describing the feelings he
to express emotions. kaba ngayon”
currently experienced.

Open-Ended Question / “Kapag maraming tao po…

“Maaari mo bang maibahagi The patient identifies
Encouraging Expression of lalo na kapag kailangan
kung kailan mo kadalas specific triggers such as
Feelings – Allows the patient kong magsalita sa harap.”
nararamdaman ang crowds and public
to freely describe
matinding kaba?” speaking.
experiences without
restriction.
“Ano ang pumapasok sa Exploring Thoughts – Helps “Pakiramdam ko po The patient demonstrates
iyong isipan sa mga ganitong identify cognitive distortions huhusgahan nila ako… at fear of negative
sitwasyon?” associated with anxiety. baka magkamali ako.” evaluation, a core feature
of social anxiety disorder.

“Nararamdaman mo ba na Seeking Clarification – “Opo…..mas pinipili kong The patient confirms

iniiwasan mo ang mga Clarifies behavior patterns umiwas kaysa mapahiya.” avoidance behavior,
sitwasyong ito?” such as avoidance. reinforcing the diagnosis.

“Ano ang nararamdaman mo Encouraging Description of “Parang kinakabahan po The patient describes
sa tuwing naiisip mong Feelings – Promotes ako…. mabilis tibok ng physiological symptoms of
haharap ka sa maraming emotional awareness. puso ko, pinagpapawisan anxiety.
tao?” ako.”

“Sa kabila ng iyong Focusing & Encouraging “Minsan po… pero The patient shows
nararamdaman, may Strengths – Highlights past sobrang hirap talaga.” minimal coping ability but
pagkakataon ba na nagawa successes to build lacks confidence.
mong harapin ang ganitong confidence.
sitwasyon?”

“Mahalagang kilalanin na Positive Reinforcement & “Siguro po… mas The patient demonstrates
kahit mahirap, nagagawa mo Suggesting Coping Strategies kakayanin ko kung isa lang openness to gradual
pa rin. Maaari nating simulan – Encourages gradual muna.” exposure.
sa maliliit na hakbang, tulad exposure and builds self-
ng pakikipag-usap sa isa o efficacy.
dalawang tao muna.”
“Ano sa tingin mo ang Encouraging Problem-Solving “Siguro po kung mag- The patient begins to
makakatulong upang – Promotes independence papractice muna ako…” identify adaptive coping
mabawasan ang iyong and self-reflection. mechanisms.
kaba?”

“Kuya Lei, ngayon po ay oras

na naming upang magpaalam Revalidating Contact – The patient demonstrates
“Ganun po ba, sige po.”
sa aming pasyente. Bukas po Helping the patient recognize understanding of the
(Patient nodded)
ay babalik ulit kami ng 10 ng the current and observable agreement and expresses
umaga at dito po tayo ulit situation by affirming and re- acceptance that the nurse
magkikita at mag-uusap sa establishing the agreement. will return to continue the
room na ito” activity.

“Magkikita tayong muli bukas Providing Continuity &

“Sige po.”
upang ipagpatuloy ang iyong Closure – Ensures follow-up The patient accepts the
progreso.” and proper termination of termination appropriately.
interaction.
Patient’s Name: Lei Apollo Suarez
Address: San Juan City
Age: 35
Admitting Diagnosis: Social Anxiety Disorder

Termination Phase Objectives:

• To summarize and review the key points discussed during the interaction
• To evaluate the patient’s progress toward the identified goals and level of insight gained
• To reinforce effective coping strategies and adaptive behaviors identified during the working
phase
• To encourage the patient to continue practicing learned techniques independently
• To provide an opportunity for the patient to express feelings about the termination of the
interaction
• To ensure closure of the therapeutic relationship in a positive and professional manner
• To promote continuity of care by preparing the patient for future interactions or follow-up
sessions
 STUDENT NURSE ANALYSIS PATIENT’S RESPONSE ANALYSIS

“Magandang umaga kuya Giving Recognition – A “Magandang umaga, The patient's suitable greeting
Lei. Masaya po ako na demonstration of Kenneth” indicates that he was able to
makausap kayo ulit” recognizing and expressing identify the student nurse and
awareness. was aware of its existence.

“Kumusta naman po ang

Encouraging Expression of “Okay na okay naman po
pakiramdam ninyo The patient responded by
Feelings – Allows the patient ako ngayon, hindi na tulad
ngayon?” describing the feelings he
to express emotions. ng ibang araw na madalas
currently experienced.
kinakabahan”

“Sir Lei, naalala niyo po ba

ang sinabi ko sa inyo The patient expressed his
“Uhmm… opo” (The
noong Lunes na hanggang Giving Information and understanding of the made
Revalidating Contact – patient nodded)
April 17, 2026 araw ng agreement.
Biyernes lang tayo Making available the
information that the patient
magkakasama?”
requires.

“Sa limang araw nating

“Opo….mas naiintindihan
pagsasama, napag- Summarizing – Reviews key The patient shows increased
ko na po.”
usapan natin ang iyong points to enhance insight.
mga nararamdaman at ang understanding and
mga sitwasyong retention.
nagbibigay sa iyo ng kaba.
Meron ba itong pagbabago
sayo?”
“Nabanggit mo rin na Reinforcing Learning – “Opo…., susubukan ko po The patient expresses
maaari kang magsimula sa Strengthens coping iyon.” willingness to apply
maliliit na hakbang tulad strategies discussed. strategies.
ng pakikipag-usap sa
isang tao at pag-
papractice.”

“Maraming salamat sa Giving Recognition – “Salamat din po sa iyong The patient expresses
iyong pagbabahagi at Acknowledges the patient’s pakikinig.” (The patient appreciation, indicating
pagtiwala, masaya ako na effort, boosting self-esteem. smiled) positive therapeutic
makausap at makilala ka. interaction and accepts the
Nais ko din sabihin na termination appropriately.
maahalaga ang ginawa
mong hakbang ngayon.”