Which technique is not listed as promoting therapeutic communication?

• A. Using open-ended questions.
• B. Monologue delivery.
• C. Silence.
• D. Active listening.

Answer: (B)

Therapeutic communication centers on creating a patient-centered exchange that invites sharing, understanding, and support. Open-ended questions invite the patient to describe experiences and concerns in their own words, rather than restricting responses to yes or no. Silence offers a respectful pause, giving the patient time to think, process emotions, and share more deeply. Active listening involves truly paying attention, reflecting back what the patient says, and validating feelings, which builds trust and ensures accurate understanding.

Monologue delivery does not promote this interaction. It is a one-way, clinician-centered approach where the nurse talks more than listens, often dominating the conversation and leaving little room for the patient to express thoughts or concerns. This can feel dismissive or overpowering and undermines rapport and patient engagement. So, monologue delivery is not a therapeutic communication technique.