CNA150 Assessment: Simulated Nurse-Patient Interview Video Script

This assignment presents a detailed video script simulating a nurse-patient interview, designed to assess communication skills in a healthcare setting. The scenario involves a community health nurse visiting a new mother, Mei Lin, to follow up after her discharge from the hospital following a Caesarean section. The script highlights the nurse's approach to building rapport, gathering patient history, assessing the patient's physical and emotional state, and providing support. The interview covers various aspects, including the patient's pain level, sleep deprivation, concerns about the baby's health, medical history, and social support. The nurse demonstrates active listening, empathy, and the ability to provide information and resources. The script also includes the nurse's assessment of the patient's vital signs from the previous day and plans for further assessment. The references cited provide additional context for effective communication in nursing practice.

VIDEO SCRIPT 1
Communication Skills Assessment through Simulated Nurse –Patient Interview
The Name of the Class (Course)
Professor (Tutor)
The Name of the School (University)
The City and State where it is located
The Date

VIDEO SCRIPT 2
Video Script for Therapeutic Interview
The scene begins with a nurse in nursing scrubs wiping her hands with an alcohol-based rub for a
few seconds. She then checks some documents and when confident they match her location, she
rings the bell. [0.00 seconds – 0.45 seconds]
Several seconds later, a lady opens the door. She looks tired. [0.45- 0.50 seconds]
Nurse: Hi, I am Brenda -the community health nurse who was to check up on you today to make
a follow up after your discharge. I do hope this is the right address. [The nurse is relaxed,
composed and maintains eye contact].This is Georgia Street house 5(Kourkouta and
Papathanasiou, 2014).
Mei: Oh, yeah. I have been expecting your visit. Do come in. [The nurse then enters]
Nurse: Nice house, do you mind me having a seat? [1 minute, 20 seconds]
Mei: It is fine. [They both sit facing each other with a distance of about 1.2 meters apart]
Nurse: If you don’t mind I would like us to begin. Do you mind me putting some few things
down in writing?
Mei: No problem.
Nurse: I am Brenda Hall, a student nurse, on placement with the Hobart Community services.
My intention is to assess your progress in recovery. Please tell me something about yourself.
Mei: I am Mei Lin. Right now I have 22 years and as you know I am a first-time mother. My
beautiful baby boy was born 6 days ago at Royal Hobart Hospital.

VIDEO SCRIPT 3
Nurse: So, what can I call you then?
Mei: Mei would be fine.
Nurse: [looks around] I hope we will be able to talk without interruptions.
Mei: We will, the baby is at last asleep and I am expecting anyone right now.
Nurse: Okay, I would like to assess how you have being since your release from the hospital
yesterday. Your progression in the hospital was it had been anticipated. What is your view?
Mei: That is alright.
[The nurse leans forward then pauses for a moment and observes Ms. Mei who has her hand
around the lower abdomen (Riley, 2015).]
Nurse: I can see you have you hand over your stomach. Can you tell me if there is an issue?
Mei: I am in so much pain. The wound also has some itchiness.
Nurse: From the Caesarean section?
Mei: Yes, It is from the surgery which allowed me to deliver the child.
Nurse: If you could use a scale of 0 to 10, with zero representing no pain at all and 10 being the
most excruciating pain you have ever felt, how would you rank it?
Mei: I would say 8. [The nurse records it]
Nurse: Could you tell me what else you feel?

VIDEO SCRIPT 4
Mei: Right now, I am very tired and I have had very little sleep from yesterday afternoon when I
was discharged from the hospital. The baby is constantly crying. He has also been feeding a lot
almost every hour.
Nurse: Mmmm…That must be really challenging.
Nurse: I can see you are also worried. What is the matter? [Mei relaxes]
Mei: I think my baby might have a birth disorder in the heart. It is really worrying me.
Nurse: A heart condition from birth?
Mei: Yes, My younger brother had it. He died because of it. Many years have now passed -
eighteen years ago. At the time he was just 3 days old. I think my son may also have the same
disorder. Even though crying is normal, maybe that’s why he is crying excessively. [Nurse nods]
[Nurse holds her hand] (O'Hagan, 2014).
Nurse: That is a real concern, I will note it down.
Nurse: Can you tell me about your medical history?
Mei: I have had hypertension before but since I am breastfeeding my son; I am no longer taking
any medication. [Nurse nods]
Nurse: I would like to ask some personal questions. Can I proceed? (Vertino, 2014).
Mei: Sure.
Nurse: Could you describe your living arrangements? Are you married for instance?

VIDEO SCRIPT 5
Mei: It is just the two of us at the moment in this tiny flat-my baby and I. The father of the child
is no longer around. It has been 2 months since he left. From the birth of the baby, I have called
and sent messages several times. He has ignored my attempts to reach out to him. [Nurse nods
understandingly]
Nurse: What kind of support do you get from your family and friends?
Mei: I was born outside the country but Western Australia is where I attended high school. We
then moved here with my ex-boyfriend. He had got a new job. I have been in Tasmania for 8
months but I have no friends or family here.
Nurse: yes
Mei: I left all my friends in Western Australia and it has been now 2 years since my family
moved back to where I was born. Right now, I don’t have the money to return to Western
Australia.
Nurse: So, you are 22 years old and a first-time mother. You had a caesarean section with pain as
well as some itchiness. Furthermore; you have been exhausted and have hardly slept. This is due
to the baby’s crying and constant need to be fed. You are also worried that your baby might have
a heart disorder like your late brother. Besides, you have had hypertension in the past but you are
currently not using any medication since you are breastfeeding. There is only you and the child
here with no family or friends in Tasmania. The father of the child is also not around. I have
covered everything? [7.0 minutes]
Mei: You have. What are you then going to do? [The nurse continues recording, then brings
attention back to Mei]

VIDEO SCRIPT 6
Nurse: Well I would like to go through your vital signs from yesterday morning. Then I will
explain further assessment I will carry out.
Mei: That would be good.
Nurse: As of yesterday at 8 am, your blood pressure was at 130 over 60 mmHg, the temperature
at 36.8OC.Your respiratory rate was at 16 breaths per minute with the Pulse being 70
beats/minute. This indicates that you were generally healthy. The measures were within normal
ranges. The blood pressure was however elevated (Shafipour, Mohammad, and Ahmadi, 2014).
Mei: I see. What are the normal ranges?
Nurse: For blood pressure it is 120/80mmHg.The optimal temperature is around 36.6oc with the
respiratory rate varying from 12 to 16 breaths per minute. 60-100 beats every minute indicates
normal pulse rates.
Nurse: I would like to now take your vital signs and thus be at a position to determine your
progress. This will be through the use of a digital thermometer to determine temperature. The
blood pressure will be measured using a gauge that has an inflatable cuff. Could you allow me to
do so and do you need any clarification? (Macdonald et al., 2013).
Mei: I see no problem with that and I think I understand it.
Nurse: With regards to getting social and emotional support, what would you feel is the way to
address the issue?
Mei: What are the alternatives?

VIDEO SCRIPT 7
Nurse: There are support groups and services for parenting as well as single parenting. This
community service, I am involved in allows me to visit different individuals in their homes and
provide care.
Mei: I would at the moment require more home visitations.
Nurse: Thank you for your cooperation. Let us then, determine your vital signs.
Mei: Okay. [10.0 minute]
The dialogue proceeds slowly with the nurse allowing the patient time to talk (Jahromi and
Ramezanli, 2014). She listens keenly and also takes time to observe Mei’s non-verbal cues. The
nurse’s tone is friendly in the opening scenes, it then changes to understanding and becomes
informative. The posture is always upright and relaxed with hands holding writing material or
Mei (Bramhall, 2014).

VIDEO SCRIPT 8
References
Bramhall, E., 2014. Effective communication skills in nursing practice. Nursing Standard
(2014+), 29(14), p.53.
Jahromi, M.K., and Ramezanli, S., 2014. Evaluation of barriers contributing to the
demonstration of effective nurse-patient communication in educational hospitals of
Jahrom, 2014. Global journal of health science, 6(6), p.54.
Kourkouta, L. and Papathanasiou, I.V., 2014. Communication in nursing practice. Materia socio-
medica, 26(1), p.65.
Macdonald, L., Stubbe, M., Tester, R., Vernall, S., Dowell, T., Dew, K., Kenealy, T., Sheridan,
N., Docherty, B., Gray, L. and Raphael, D., 2013. Nurse-patient communication in
primary care diabetes management: an exploratory study. BMC nursing, 12(1), p.20.
O'Hagan, S., Manias, E., Elder, C., Pill, J., Woodward‐Kron, R., McNamara, T., Webb, G. and
McColl, G., 2014. What counts as effective communication in nursing? Evidence from
nurse educators' and clinicians' feedback on nurse interactions with simulated patients.
Journal of advanced nursing, 70(6), pp.1344-1355.
Riley, J.B., 2015. Communication in nursing. 8th edition Elsevier Health Sciences.st. Louis,
Missouri.
Shafipour, V., Mohammad, E. and Ahmadi, F., 2014. Barriers to nurse-patient communication
in cardiac surgery wards: a qualitative study. Global journal of health science, 6(6),
p.234.

VIDEO SCRIPT 9
Vertino, K., (September 30, 2014) "Effective Interpersonal Communication: A Practical Guide
to Improve Your Life" OJIN: The Online Journal of Issues in Nursing Vol. 19, No. 3,
Manuscript 1.