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NCLEX Cheat Sheet Therapeutic Communication

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Therapeutic Communication y Time-limited relationships between nurse and client that serve a specific purpose (e.g., developing communication or healthy coping skills)  Discuss the timeline for termination of the nurse- client relationship at the first client meeting (“I will be your nurse until 7 p.m. tonight.”). y Focus on the client’s needs, not the nurse’s needs. y Uses therapeutic communication to build rapport, gain trust, and gather relevant information 2. Therapeutic Communication  Therapeutic communication uses non-judgmental observations and/or open-ended questions (TABLE 1). y Non-judgmental observations: Neutral, factual statements that demonstrate active listening to: y Let the client know you’ve heard what was said. y Validate the client’s emotions by: y Making observations: “That must have been very difficult.” y Restating: “This has been a very stressful time for you.” y Open-ended questions: Cannot be answered with “yes” or “no” y Invite clients to share information in their own words by: y Exploring: “I’d like to hear more about your concerns.” y Encouraging description: “Tell me about how you are feeling now.”  Therapeutic communication uses non- judgmental observations and/or open-ended questions.  Discuss the timeline for termination of the nurse-client relationship at the first client meeting. Mental Health TABLE 1. THERAPEUTIC COMMUNICATION THEMES Type Example Active listening Restating Client: “I have been up all night.” Nurse: “You didn’t sleep last night?” Reflecting Client: “What should I do about this situation?” Nurse: “What do you think you should do?” Seeking clarification “I am not sure I understand what you mean.” Open-ended questions Giving broad openings “Where do you want to start?” Offering general leads “Tell me more about ___.” Encouraging description “What makes you feel that way?

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NCLEX Cheat Sheet Therapeutic Communication
Course
NCLEX Cheat Sheet Therapeutic Communication

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Table of Contents:
1. Therapeutic Relationships
4. Cultural Considerations
2. Therapeutic
5. NCLEX Practice Questions
Communication
3. Nontherapeutic
Communication


Therapeutic Communication
1. Therapeutic Relationships
 Time-limited relationships between nurse and TABLE 1. THERAPEUTIC COMMUNICATION THEMES
client that serve a specific purpose (e.g.,
developing communication or healthy coping skills) Type Example
Discuss the timeline for termination of the nurse- client
Restating Client: “I have been
relationship at the first client meeting (“I will be your
up all night.”
nurse until 7 p.m. tonight.”).
Nurse: “You didn’t
 Focus on the client’s needs, not the nurse’s needs.
sleep last night?”
 Uses therapeutic communication to build
rapport, gain trust, and gather relevant Reflecting Client: “What
information should I do about
Active
this situation?”
listening
2. Therapeutic Communication Nurse: “What do you
Therapeutic communication uses non-judgmental think you should
do?”
observations and/or open-ended questions (TABLE 1).
Seeking “I am not sure I
 Non-judgmental observations: Neutral, factual
clarification understand what
statements that demonstrate active listening to:
you mean.”
 Let the client know you’ve heard
Giving “Where do you
what was said.
broad want to start?”
 Validate the client’s emotions by:
openings
 Making observations: “That must have
Offering “Tell me
been very difficult.” Open-ended
general more about
 Restating: “This has been a very questions
leads .”
stressful time for you.”
 Open-ended questions: Cannot be answered with Encouragin “What makes you
“yes” or “no” g feel that way?”
description
 Invite clients to share information in their own
Exploring “Could you
words by:
describe ?
 Exploring: “I’d like to hear more about

your concerns.”
Silence Sitting in silence
 Encouraging description: “Tell me
about how you are feeling now.” Non-




Discuss the timeline for termination of first client meeting.
the nurse-client relationship at the

, @ Therapeutic communication uses non- judgmental observations and/or open-ended
questions.

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NCLEX Cheat Sheet Therapeutic Communication
Course
NCLEX Cheat Sheet Therapeutic Communication

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