Barriers to therapeutic communication include probing, giving advice and

Choice A rationale: This is an important step but it comes second after actively listening to the patient. Understanding the underlying emotions allows the nurse to respond appropriately and address the patient's concerns effectively. By identifying the emotions, the nurse can establish a foundation for constructive communication and work towards resolving the source of anger.
Choice B rationale: Listening actively is an important component of effective communication and it entails paying attention to the client's verbal and non-verbal cues. This shows empathy and an interest in the patient’s concerns.
Choice C rationale: Exploring options is relevant, but it is a subsequent step in the communication process after active listening and identifying emotions.
Choice D rationale: this is inappropriate especially when dealing with an angry patient as it may sound patronizing, insincere, and dismissive.

Choice A rationale: this statement is correct since it shows that the nurse is understanding and sharing the patient’s feelings without judging them but instead the nurse is acknowledging the client’s pain and is showing compassion. It reflects on the patient’s emotions and validates their experiences.
Choice B rationale: this is a sign of sympathy and not empathy since it shows that the nurse is sorry for the patient but is not necessarily relating to their emotions.
Choice C rationale: this statement is dismissive since it tries to make the client feel better by overlooking and downplaying their negative feelings which may worsen their situation.
Choice D rationale: this is a hopeful response rather than an empathetic one and does not address the client’s current emotions and feelings despite being a source of encouragement and optimism.