In establishing the nurse-patient relationship,personal self-disclosure by the nurse is useful for which of the following goals? (Select all that apply. )

A) To educate the patient
B) To build the therapeutic alliance
C) To encourage the patient's independence
D) To offer opinions that may influence the patient's decisions

Personal self-disclosure is used with caution and only in selected situations.Personal self-disclosure by the nurse is useful for the following goals: (1)to educate the patient, (2)to build a therapeutic alliance with the patient,and (3)to encourage the patient's independence.Barriers to therapeutic communication include giving an opinion,offering false reassurance,being defensive,showing approval or disapproval,stereotyping,and asking "Why?" The use of "why" questions causes increased defensiveness in the patient and hinders communication.