Which action is NOT part of the SURETY model in therapeutic communication?

• A. Sit at an angle
• B. Speak loudly
• C. Uncross arms and legs
• D. Relax

Answer: (B)

In therapeutic communication, nonverbal cues are used to create safety, trust, and engagement with the patient. The SURETY approach emphasizes presenting yourself in a calm, open, and attentive way: sit facing the patient to show you are with them, keep an open posture by not crossing arms or legs, stay relaxed to project ease, maintain appropriate eye contact, and use a calm, steady voice. Speaking loudly goes against this approach because raising your voice can feel threatening or alarming, making the patient less willing to share concerns. The other behaviors align with the model by promoting direct engagement, openness, and a composed presence.