Presentation on theme: "Example of Interaction Process Recording"— Presentation transcript:
1 Example of Interaction Process Recording StudentVerbal and Non-VerbalPatientClient’s Defense/CopingInterpersonal TechniquesCritique and Analysis (effective? Or non-effective? Could have said, “_________________”“Good Morning, Mr. Smith.”I am Lisa. I am a student nurse from Mt St. Mary College, and you are at Kaiser Mental Health Center. I would like to spend some time with you today.”“You were brought in by your wife last night after swallowing a bottle of aspirin. You had to have your stomach pumped.”“Who are you and where the devil am I?” Gazes around with a confused look on his face - Quickly sits on the edge of the bed.Defense: DisplacementCoping: Maladaptive“What am I doing here? How did I get here?” Spoken in a loud, demanding voice.“Oh…Yeah,” Silence for 2 minutes. Shoulders slumped, Mr. Smith stares at the floor and drops his headDefense: Adaptive (Self-Observation)Coping: PalliativeTherapeutic. Giving recognition. Acknowledging a client by name can enhance self-esteem and communicates that the client is viewed as an individual by the nurse.Therapeutic. Giving Information. Informing the client of facts needed to make decisions or come to realistic conclusions.Therapeutic. Offering self. Making oneself available to the client.Therapeutic. Giving information. Giving needed facts so that the client can orient himself and better evaluate his situation.I was feeling nervous. He had attempted suicide and I didn’t know if I could help him. Initially I was feeling somewhat overwhelmed with his history.I felt a bit intimidated when he raised his voice.I was uncomfortable with the silence, but since I didn’t have anything useful to say, I stayed with him in silence for the 2 minutes.
2 Interpersonal Techniques Critique and Analysis ContinueStudentPatientInterpersonal TechniquesCritique and Analysis“You seem upset, Mr. Smith. What are you thinking about?”“Why did you do that?”“Oh, Mr. Long, you have so much to live for, You have such a loving family.”“I didn’t know. You must be upset by her leaving.”“I know how that feels, I’ve been married for 8 years”I just remembered… I wanted to kill myself.” Said in a low tone of voice, almost to himself.Defense: RepressionCoping: Dysfunctional“My life is over”Defense: Dissociation“What do you know about my life? You want to know about my family?…My wife is leaving me, that’s what!” Faces the student with an angry expression on his face and speaks in a loud tone.Defense: DisplacementCoping: Maladaptive“I don’t know what to do. We have been together for almost 15 years”Defense: RationalizationCoping: Palliative“I just want to end my life”Defense: MinimizingTherapeutic. Making observations. He looks sad. Giving broad openings in an attempt to get at his feelingsNontherapeutic: Requesting an explanationNontherapeutic. Defending.Nontherapeutic. Introducing an unrelated topic.Therapeutic. Reflective. Observing the angry tone and content of the client’s message and reflecting back the client’s feelings.Nontherapeutic:I began to feel sorry for him; he looked so sad and helpless.I didn’t know what to say at that point. I could have said, What were you feeling before that happened?I felt overwhelmed. I didn't know what to say- his talking about killing himself made me nervous. I could have said, “You must be very upset” or “Tell me more about this”Again I felt intimidated by his anger, but now I linked it with his wife’s leaving him, so I didn’t take it as personally as I did the first time.