The nurse is caring for a patient who is verbalizing concerns related to a difficult relationship. Which of the following responses by the nurse will block communication and should therefore be avoided? (Select all that apply.)
a. Using silence
b. Asking "why"
c. Changing the subject
d. Agreeing or disagreeing
e. Verbalizing the implied
ANS: B, C, D
Asking why, changing the subject, and agreeing or disagreeing can block communication. Appropriate use of silence and verbalizing the implied are therapeutic.
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