This article is based on a study of the communication between the patient and the nurse during their conversation at the admission to hospital. The purpose of the study was to capture the patient perspective in current clinical practice. Data consisted of video recordings of the conversations as well as the subsequent interviews with both patients and nurses. The present article is based primarily on these interviews investigating the experiences and intentions of nurses and patients concerning their conversations at the admission to hospital; the experiences and intentions are put into perspective with findings from the video analyses. The conclusion is that there seemed to be a divergence between the intentions of the nurse and the experiences and reflections of the patients in the light of what took place in the video recordings.