INTERACTION ANALYSIS

To obtain satisfactory performance for the assigned interaction analysis assignment

the student will identify:
a)
3 therapeutic communication techniques that they utilized in their patient
communication/interaction.
2 barriers/blocks to therapeutic communication that they recognized having
b)
used/occurred in the interaction
3 behavioral responses that the patient demonstrated that are characteristic of
c)
maladaptive coping &/or characteristic of an identified DSM-5 disorder
Identify stage of nurse-client relationship
*** Neither taping nor written recording of information is to be done during interaction
d)
with the client
Client
Nurse communication;
InterpretationofCommunication;
communication;
1)Verbal&
1)Therapeutic & non therapeutic
1)Verbal&
2)Non Verbal
communication
2)Non Verbal
2)Clientsbehavioralresponses
3)Stageofnurse-clientrelationship
Hello. My name is Jenna. Im
Block: started off with a closed end question.
a nursing student at JC. Do you Therapeutic non-verbal: sits near client, friendly
mind if I sit with you? offers
hand shake, sits in chair across affect, maintains eye contact.
from client, smiles and
maintains eye contact.

- Shrugs shoulders. Fine

with me. What do you want
to know?
- Fidgets with napkin on
table. Curious affect,
Well, how are you doing
attempts to maintain contact. today?
- Leans in toward client with
interest.
All right I guess. Just
finished rolling up the
silverware for lunch. That
was my assigned chore for
the morning.
- Continues to fidget with the
napkin, eye contact still
attempted.

- Thinks for a moment, eyes

looking up at the ceiling.
Since June 10th, I think. Its
not as bad as I thought when
I got here. At first I walked in
and thought, oh man this
place smells, but I got used
to it.

Block from client: Fidgeting with napkin could be

from anxiety.
Non-verbal: attempts to maintain eye contact.
Verbal: communicates with open ended question.
Verbal: open ended question
Non-verbal is congruent in being therapeutic
Non-verbal: still displays signs possible related to
feeling anxious.

Im sure they appreciate your

help. How long have you been
here for?
- Maintains eye contact while
leaning in towards client.

- Remains silent for a moment.

Shuffles in the chair slightly
uncomfortable.
Do you have a routine in your
day?
- Maintains eye contact

Therapeutic verbal: acknowledging client

response in empathetic manner/ non-verbal
congruent.

Verbal: client starts to open up with personal

details

Block from me- hesitancy in how to respond to

clients statement. It caught me off guard, and I

Pg 2 of interaction analysis assignment form

Client
Nursecommunication;
communication;
1)Verbal&
1)Verbal&
2)Non Verbal
2)NonVerbal
You can tell who the lazy
ones are around here. I
have earned my respect.
You dont mess with me and
I wont mess with you. You
have to put on a strong front,
but Ive been doing that ever
since I was a little girl.
Always getting picked on,
That must have been hard for
you.
even in elementary school.
- Keeps a neutral affect,
You know, for being Mexican
hands folded on table,
and stuff.
maintains eye contact.
- Rolls eyes, moving hands
around while talking.

You just learn to deal with it.

I would fight some girls. I
dont like to fight, but you
have to hold your own, you
know?
- Eyebrows raised

InterpretationofCommunication;
1)Therapeutic & non therapeutic
communication
2)Clientsbehavioralresponses
3)Stageofnurse-clientrelationship

Therapeutic cues maintained by both parties. I

think this resulted in the clients willingness to
continue to open up.

Nods in understanding . Do
you have any family around
here?

- Fidgets with napkin on

table and looks down and
nods and attempts eye
contact again. I have a 21
year old son living with my
sister until I get back on my
feet again. I was not a good
mother to that boy. I drank
and was more worried about
partying than anything else.
I neglected that boy because
I was always intoxicated.
Im so sorry to hear that. How
have you been handling that?
But both my parents were
- Looks at client with interest.
alcoholics. Drunk all the
time. Theyre dead now.
Died same year, same
month even. Looks down
at hands. The month of my
birthday. But that was over
10 years ago. - keeps

Client starts to demonstrate behavioral responses

that are characteristic of AUD (Alcohol use
Disorder) including problems controlling intake of
alcohol, continued use despite problems resulting
from drinking, the development of tolerance over
time, and behavior that has lead to risky situations
while intoxicated.

Pg 2 of interaction analysis assignment form

Client
Nursecommunication;
communication;
1)Verbal&
1)Verbal&
2)Non Verbal
2)NonVerbal

InterpretationofCommunication;
1)Therapeutic & non therapeutic
communication
2)Clientsbehavioralresponses
3)Stageofnurse-clientrelationship

It was real hard at first. I

hated that month. But my
dad used to beat the shit out
of my mom. All the time. He
would come home at 12 or 1
in the morning, and I would
wake up to screaming and
stuff breaking. I at least left How does it make you feel
my abusive husband. She
talking about it now?
never even tried. I dont tell - Leans forward, maintains
eye contact, flat affect.
many people this story, you
know?
- Attempts to maintain eye
contact
I mean, it feels good to talk
to someone, you know? The
people here, you dont know
who you can trust. Ive
made some bad decisions in
my life. Drinking and driving.
I would go to work
intoxicated sometimes.
Work hard to drink hard.
Then I went to the hospital.
People said my skin was
turning yellow. The doctors
said my liver was failing me
and I needed a transplant.
That scared me straight.
- Maintains eye contact,
leans back in chair.

Funny thing was a couple

months later, my blood work
said my liver was fine. Can
you believe it? They even
took it twice because they
thought it wasnt right . God
was looking out for me. Ive
never prayed until that day.
Now God is what I think

I bet. So, did you end up

getting the transplant?
- Maintains eye contact,
leans forward.

(This is actually where the

conversation was interrupted
by an outsider)
Thank you so much for your
time and sharing your thoughts
with me.
- Smiles and offers hand shake
while standing.

This was my first interaction with a client at the

Shelter. I believe it was a great learning
experience for me. I felt my client was slightly
hesitant at first, but seemed ultimately willing
share her life story and how she ended up in the
state she was in. We both displayed
communication blocks, although I feel we also
gained confidence and trust early on. I got the
feeling she was grateful to sit down and talk to
someone. Overall, I think it was a very good first
interaction.