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Tips on Answering Therapeutic Communication Questions on The Hesi Exit Exam

ON any nursing exam you take, you will probably be tested on therapeutic communication. When people are hospitalized, they are at their most vulnerable and you the nurse can support them through this period with good communication skills. You will most certainly be tested on this on the HESI so here are a few tips.

First of all , you may get a question that is asking you what to do when a patient has just lost someone ,something or a function. The patient  may not be saying anything they may just be absorbing or trying to absorb the reality that they have just lost something neear and dear to them. In this scenario, the nurse can offer her presence by just being there with the client. The nurse does not have to say anything and in some cases , the nurse may leave to give the patient or patients family time alone to grieve.

Next you may get a question about  a patient who is crying for one reason or the other. Remember it is okay for the patient to cry. However, you need to know what the root of the problem is to  see if you can help your client. Sometimes they might be feeling overwhelmingly out of control of their situation that they breakdown and cry. Its your job to help them regain control by involving them in their care amongst other things but crying is okay. The patient is away from home , being seen by different people and is unceratin about what is going on so it is plausible that they may cry.

Another thing to know, is to never pick otions with the word why in them because they put the patient on the defensive. Its not a therapeutic word in that it is almost accusatory. Instead, ask open ended questions to elicit more information from the client. For example instead of picking an otion thats says why are you here today you can pick one that says what brought you here today.

SOme phrases to look out for in the options you get are:

Tell me more about…
You seem worried about…
I can stay with you…
I can see that you are upset…

These are therapeutic and will point you in the direction of the right answer.

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