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INTERACTION ANALYSIS (Makayla Eppel

)
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.
b
2 “barriers/blocks” to therapeutic communication that they recognized
having used/occurred in the interaction
c
3 behavioral responses that the patient demonstrated that are characteristic
of maladaptive coping &/or characteristic of an identified DSM-5 disorder
d
Identify stage of nurse-client relationship
*** Neither taping nor written recording of information is to be done during interaction
with the client
Client
Nurse communication;
Interpretation of Communication;
communication;
1) Therapeutic & non therapeutic
1 Verbal &
1)Verbal &
communication
2 Non Verbal
2) Non Verbal
2) Client’s behavioral responses
3)Stage of nurse-client relationship
Client pacing in hallway,
agitated movement.

Client’s movements and general behavior
indicated some anxiety, which is one of her
DSM5 diagnoses.
“Hello, ____, How are you
feeling today?” –making eye
contact, leaning toward
patient, interested facial
expression.

“I’m okay, I guess, I’m
pretty tired today.”
Continues to pace, brief
eye contact, looks back
down to floor.

Block from client: break in eye contact,
looking down at floor
DSM5: pacing due to patient’s GAD, looking
toward floor may be attributed to her
depression.
“Why are you feeling tired?”
-attempting to maintain eye
contact, standing slightly to
side of patient turned inward,
concerned facial expression.

“I keep having these
awful nightmares of my
abuser and I can’t get a
full night’s sleep.”
Makes eye contact, arms
crossed in front of body.

Therapeutic verbal: Open ended
question, broad opening.
Therapeutic non-verbal: eye contact,
leaning in toward patient, showing
interest.

Block from Nurse: Asking why.
Therapeutic Non-verbal: eye contact,
body positioning and facial expression
continue to be therapeutic.
Client beginning to open up to conversation
by making eye contact, still blocking with
crossed arms.
Nightmares like these stem from patient’s
history of domestic abuse and her
accompanying diagnosis of PTSD.

Client
communication;
1 Verbal &
2 Non Verbal

Nurse communication;
1)Verbal &
2) Non Verbal

Interpretation of Communication;
1) Therapeutic & non therapeutic
communication
2) Client’s behavioral responses
3)Stage of nurse-client relationship

“That must be horrible, how
long have you had these
nightmares?”-eye contact,
leaning in toward patient,
concerned expression.

Open ended questioning, expressing
empathy and active listening are
therapeutic communication techniques.
Non-verbals in this instance are also all
therapeutic.

“It’s been going on for
quite a while, but it got
worse with this
pregnancy.”
-eye contact, crossed
arms.

“I used to be on a
medication for the
nightmares, but when
the OB/GYN took me off
all my meds, I guess that
one went too..I cant deal
with the flashbacks like I
used to..I wish there was
something they could
do”
Eye contact maintained,
arms uncrossed.

Thank you so much. I
hope so. –smile and eye
contact returned.

Client continuing to open up more, but still
guarded.

*waits for client to finish
thought. Leaning in, eye
contact maintained*

Active listening. Therapeutic non-verbals.

Client opening up, showing relief in body
language.

“I will speak with your
physician and see if anything
can be done”
-eye contact, leaning in
toward patient, smiling.

The phase of the nurse-client relationship in
this interaction shows both orientation and
working characteristics.