Chapter 1 Therapeutic communication Learning goal: Choose therapeutic responses and avoid blocks. Communication techniques Therapeutic; Non-therapeutic; Open-ended questions; 'Why' questions (defensive); Reflecting feelings; False reassurance ('Everything will be fine'); Offering self ('I will sit with you'); Giving advice; Silence, clarifying, focusing; Changing the subject; Presenting reality; Approving/disapproving; Figure 1.1
NCLEX TIP The best NCLEX answer usually acknowledges the client's feelings and invites them to say more - unless safety is threatened, in which case safety comes first.
Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.
Chapter 1 study page: Therapeutic communication Use this page to consolidate the chapter before attempting the questions. Writing the answers from memory (active recall) is one of the most effective study strategies. In your own words, summarise: Therapeutic communication.
What is the single most dangerous finding in this chapter, and what is the first nursing action?
Which medication, lab value or number from this chapter must you memorise? Write it with its unit.
Create one NCLEX-style question of your own on this chapter and explain the correct answer.
Check your understanding Q. A client says, 'I'm worthless.' Best response? A. 'That's not true.' B. 'Why do you feel that way?' C. 'You feel worthless. Tell me more.' D. 'Let's talk about something else.' Answers and rationales are in the Practice exam chapter.
Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.
Sample shown: about 249 of 2,942 words.