Certified Medical-Surgical Registered Nurse Practice Exam

What type of therapeutic communication is demonstrated when a nurse allows a patient time to gather thoughts?

1. Clarification

2. Empathy

3. Reflection

4. Silence

The correct answer is: Silence

The correct choice demonstrates the use of silence as a therapeutic communication technique. Silence can be a powerful tool in nursing communication, as it provides patients with the opportunity to process their thoughts and feelings without pressure or intrusion. By allowing a pause in conversation, the nurse gives the patient the time they need to articulate their concerns, facilitating deeper reflection and more meaningful engagement in the dialogue. Silence creates a safe space for patients, promoting their comfort and fostering trust in the nurse-patient relationship. It can also encourage patients to express themselves more fully when they are ready, thus enhancing the overall communication process and contributing to effective assessment and intervention. In contrast to the other options, techniques like clarification, empathy, and reflection involve more active engagement in the conversation, each requiring the nurse to interact with the patient in specific ways rather than simply providing an unobtrusive moment for thought.