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Saturday, December 11, 2010

NCLEX THERAPEUTIC COMMUNICATION

THERAPEUTIC COMMUNICATION: The NON-Therapeutic Responses
Closed-ended question
o   “Are you feeling guilty about what happened”
o   “How many children do you have?”
“Why” Questions
o   Tell me the reason why you did that.
o   Why do you feel this way?
“Don’t worry” questions / FALSE REASSURANCE!
o   “It is going to be OK”
o   “Don’t worry your doctors will do everything necessary for your care”
Nurse focused answers
o   “That happened to me once”
o   “I know from experience this is hard for you”

A 50 year old woman is admitted to the emergency room with a diagnosis of acute myocardial infarction. She tells the nurse, “I’m scared, I think I’m going to die.” Which of the following responses by the nurse would be MOST appropriate?
     1. “Everything would be alright.”
     2. “I know what you mean. I thought I was having a heart attack.”
     3. “I’ll call your doctor, so you can discuss it.”
     4. “It’s normal to feel frightened. We’re doing everything we can for you.”
Answer: 4

   REMEMBER:
1       Don’t use real world experience to answer NCLEX questions! (“Where I am working…this is what we do……”)
2       You have the time, the staff, and the equipment
3       NCLEX is what the textbook says is correct or ideal!
4    Eliminate wrong options. That increases your chance of getting the correct answer.
What’s left is the answer…
   If you eliminated three answer choices, the fourth answer choice is the correct answer.
   NO second Chances!
   Eliminate only what you know is Wrong!

   *Reword!  Reword each question in your own words! (reword the entire situation into a one line question answerable by the option(s).

   *Clueless? If you are clueless, look for clues in the answer choices
   *Do Everything by the Book. All correct answers are based on textbook theoretical nursing practice.

STRATEGY: TWO OPTIONS OF THE SAME CONTENT, ELIMINATE!
   Identify equally plausible or unique options.
   Sometimes items contain two or more options that are similar.
   Usually equally plausible options are distractors and can be eliminated from consideration.

To most effectively help meet a patient’s basic safety and security needs, the nurse should:
1.    Serve adequate foods
2.    Provide three meals a day with two snacks in between
3.    Place the call bell near the patient
4.    Store the patient’s valuables in the hospital safe
Answer: 3




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