ORIENTATION PHASE

DESCRIPTION OF PHASE
Begins when the nurse goes to the patient, introduces himself, and gets
information about the patient. During this phase that basic information about the nurse
and patient are exchanged between one another in order for them to get acquainted.
The main goal of this phase is to establish trust and rapport between the two
individuals.
OBJECTIVES:
1. To build trust and rapport between the nurse and patient.
2. To establish a therapeutic environment ensuring safety and privacy.
3. To initiate a therapeutic contract by establishing a time, place and duration of each
meeting as well as the length of time the relationship will be in effect.
4. To obtain basic information of the patient.
5. To help the patient communicate effectively through the therapeutic use of self.

DATE/TIME/VENUE:
January 6, 2016 / 02:30 AM / NCMH Pavilion 1
NURSE-PATIENT
INTERACTION

Nurse: Good afternoon, my

name is Anam, I am Indonesian,
I am a student nurse from CEU
and I will be your student nurse
today, tomorrow, and the next
week on Wednesday, Thursday,
and Friday. After that times I will
not around as your student
nurse because I have another
duty, not in this NCMH. May I
know, what is your name?

RATIONALE OF THE
NURSES
COMMUNICATION
TECHNIQUE

ANALYSIS OF THE
PATIENTS RESPONSE

Giving information

Gerenarl Appearance:

Informing the client is

important to get his
attention
and
to
establish trust. In this,
the nurse is giving the
patient an idea what
will happen to the
following days

The patient is appropriately

dressed and well goomed,
body odor is noted. He has
normal facial expression
with an upright posture.
The patient can keep eyes
contact but sometimes the
patient look at the back,
side, and around while
communicate.

Patient: Good afternoon Mr.

Anam. Of course, my name is
Nurse: How are you?
Patient: I am fine and happy.
Nurse: before we talk further, I
would like to make contract with
you. are you happy and like to
be my patient for today,
tomorrow,
next
week
on
Wednesday, Thursday, and
Friday?
Patient: Yes, I like to be your
patient for 5 days. I like to share
with you as student nurse, I
might can get more information
from you.
Nurse: Ok, I expect you can
open and trust to me about
yourself. Are you really like to
speak English with me?

General Leads
Encourages
the
individual to continue
in the direction of
conversation already
begun. The nurses
general
responses
convey that she is
following the course
of the conversation
and is interested in
hearing more.

Cognition:
Patient is coherent and
alert, oriented to date, time
and place.

Attitude:
The patient is cooperative.

Speech:
The patient speaks in
English,
spontaneous,
loud, and rapid manner.

Patient: I am glad to speak with

you. I can speak English
because before I am study at
San Beda.
Nurse: on 5 days, we will also
have some activity for you. How
are you this morning? How do
you feel?
Patient: Okay. Im fine, I
good and better, this day
like other day.
Nurse: what do you mean
this day just like other day?
Patient: I mean today I

Psychoanalytic Theory:

According to Jean Piaget,

in the formal operations
stage, the structures of
feel
development become the
just
abstract,
logically
organized system of adult
intelligence. When faced
with Seeking clarification
with a complex problem,
It is an attempt to the adolescent speculates
make clear that which
am is not meaningful or about all possible solutions

happy, because every day I feel understood.

happy and comfortable. And I
also like to communicate
outside the ward, because I feel
more fresh. You are Indonesian
right? So you cannot speak
tagalog?

before trying them out in

the real world.

Nurse: Yes, I am Indonesian, I

cannot speak tagalog much.
Seeking Information
Where are you from?

Patient is alert and can

recall past histories.

This is done to help

the
nurse
avoid
making assumptions
that
understanding
has occurred when it
has not. It helps the
Nurse: Are you married? Do client
articulate
you have children?
thoughts and feelings
and
ideas
more
Patient: yes, I married. I have 2
clearly.
children.
Patient:
I
am
from
Mandaluyong, that building with
the orange roof. Do you see that
building? I have rent 1 unit in
there together with my family.

Nurse: what are you doing in

NCMH?
Patient: I am here for continue
my
medication
treatment.
Before I admitted to Medical
center, but after that I transfer
here
for
continue
my
medication.
Nurse: do you know the reason
of being admitted to this
hospital?
Patient: I am drinker, I always
drunk every day. I always drunk
alcohol. I think alcohol is not so
bad, but if it too much or abuse
the substance make our body

Cognition:

broke. Except drunk alcohol, I

also use drugs like shabu. I start
to drunk and use shabu when I
am in high school. I influenced
by my friends.
Nurse: Were your friends really
give you bad influence? How it
is?
Patient: My friends at the first
time give me, and then they
always invited me when drinking
until I become addict.
Nurse: What is your job before
you admit? How is it?
Patient: I work at Makati as call
center. I have many client and
friends from US.
Nurse: Ok Po, our time for
today is finished. I would like to
remind you that tomorrow we
will meet, communicate, and
have some activity. Thank you
very much for your cooperation

Restating
contract

the

This reminds the

patient of the contract
and
relationship
between patient and
nurse