Which nurse statement is an example of a judgmental barrier to communication?

Correct answer: B. You should have known better than to misuse the medicine.

  • A. Tell me what happened before you became upset.
  • B. You should have known better than to misuse the medicine.
  • C. What concerns you most about the treatment?
  • D. How did you feel after speaking with your family?

Explanation

“You should have known better” expresses blame and may cause the patient to become defensive. Therapeutic questions explore the patient’s experience without criticism.

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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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