Which nurse statement is a barrier to therapeutic communication?
Correct answer: C. Why did you fail to follow the treatment plan?
- A. Tell me what worries you most about going home.
- B. You sound concerned about managing your medicines.
- C. Why did you fail to follow the treatment plan?
- D. Take your time; I am listening to what you are saying.
Explanation
The word “why” in this context can sound blaming and judgmental, causing the patient to become defensive. The other statements invite expression or communicate attention and acceptance.
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About Therapeutic Communication
Therapeutic communication covers active listening, empathy, clarification, reflection, silence, open-ended questioning, and purposeful responses that help patients express thoughts and feelings. It distinguishes therapeutic techniques from barriers such as false reassurance, advice-giving, judgment, changing the subject, probing, and asking repeated or closed questions.
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