MENTAL HEALTH
Clinical Instructor: Jessica Jun
Name (initials only): SL Unit: Mental Health
Current Legal Status (Vol., 5150, 5250, 30 day, T-Con, LPS-Conservatorship): Voluntary
Multiaxial Diagnostic System: Axis I (Clinical Disorder): Attention Deficit Hyperactivity Disorder
Axis II (Personality Disorder / Mental Retardation): none
Axis III (General Medical Conditions): none
Axis IV (Psychosocial and Environmental Problems): social anxiety
Axis V (Global Assessment of Functioning Scale): 60
1. Description of the patient: Age? Sex? Ethnicity? Marital Status? What precipitated hospitalization? Number of days in the hospital? Mental Status, etc.
S.L is a 24 year old Caucasian female. Patient is single. She lives her parents. Patient was admitted to Swift River Hospital on April 25th, 2020 for attention deficit hyperactivity disorder. S.L. understands her condition. She has family support at home, but often gets frustrated by family. S.L. was noncompliant with medications, mother states she was threatening to end her life. S.L is alert and oriented x4 to person, place, time, and situation.
2. Description of environmental setting where interaction took place. Explain the reasons for a supportive or non-supportive environment. (e.g. noise, distractions, light, temperature, etc.)
Interview took place in a quiet environment with no distractions. The interaction lasted about 30 minutes. The patient was sitting on a chair fidgeting with her fingers. There was no one else around. The environment was supportive allowing us to converse privately.
Course Number and Name
Course: NURS 223L
INTERPERSONAL PROCESS ANALYSIS TEMPLATE
Revision Date: Month, Year (i.e. February, 2010) Page 1
Page 1 of 5
INTERPERSONAL PROCESS ANALYSIS
NAME: Kadie Levy DATE: 04/27/2020
| Student:
· Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.) · Document at least 5 interactions · Goal for each interaction (realistic and measurable) |
Patient:
Verbal (quotes) and Nonverbal Communication (behavior, tone of voice, eye contact, mannerisms, etc.) |
Communication Techniques
· Identify communication technique used then define your communication techniques · Was the communication therapeutic or non- therapeutic? · Which defense and coping mechanisms didthe patient use? Rationale based on your patient. |
Critique and Analysis
(effective or not effective? Could have said…) Document your thoughts and feelings during the interaction. Was your goal met? |
| Goal: utilizing therapeutic communication of silence
Verbal: “You are anxious, is there something you would like to talk about?” Nonverbal: Maintain eye contact |
Verbal: “Yes, I just don’t like being in the hospital” Nonverbal: She looked down at the ground |
Communication was therapeutic, using open-ended questions allowing for patient to expand on thoughts. | Effective because I was able to use therapeutic communication and allowed the patient to open up
goal met. |
| Goal: To gain the patient trust and continue with conversation
Verbal: “I would like to talk more about you.” Nonverbal: Eye contact, empathetic tone. |
Verbal: “I am scared to talk about my problems” Nonverbal: Patient makes eye contact, but looks away often |
Communication technique used was exploring to have patient elaborate. The communication was therapeutic | Not effective because patient was not able to open up about what brought them in. Could ask open ended questions.
Goal was not met. |
| Goal: Find reason why patient was admitted to hospital.
Verbal: “What brought you into the hospital. ” Nonverbal: Active listening, sitting upright |
Verbal: “I was brought in because I was getting angry and not taking my medication”
Nonverbal: Patient uses eye contact, tapping feet |
Communication technique used was exploring. Communication was therapeutic | Effective because patient opened up. Could of used more empathy because patient was tapping feet making them nervous.
Goal met. |
| Goal: Engage patient in conversation to elaborate on their feelings
Verbal: “How do you feel when talking with me” Nonverbal: Eye contact, sitting upright, facing patient |
Verbal: “I feel good, opening up and talking to someone Nonverbal: Maintains eye contact |
Communication technique used was open ended questions allowing for patient to tell me how they feel. Communication was therapeutic | Effective because patient feels safe and trusts me |
| Goal: To use therapeutic communication of active listening
Verbal: Ask questions that allow patient to open up Nonverbal: Maintain eye contact |
Verbal: Patient opened up to me and shared how they are coping Nonverbal: Eye contact |
Communication technique used was active listening. Communication was therapeutic | Effective because patient relaxed and shared how they are feeling. |
INTERPERSONAL PROCESS ANALYSIS SUMMARY
1. Evaluation: After analyzing the interaction, provide a description on how the interaction progressed. Identify the reasons for successful process or unsuccessful process. What did you learn from the interaction with your patient?
After introducing myself to S.L. I explained what I was going to be doing to gain trust from the patient. From the interaction I learned how the patient attempts to deal with her disorder. The interaction was successful because I feel as I gained trust from the patient. I learned that the patient sometimes feel her medication does not help.
2. How did you personally feel about the interaction? What would you change if you had to redo the interaction?
The interaction with S.L was productive. I would change the way I started the conversation about what is going on and what my intentions were such as being more upfront instead of working around the main issue at hand.
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