A nurse is discussing factors that influence communication with a group of newly licensed nurses. Which of the following information should the nurse include? 

A. This is not a therapeutic communication technique. Passive responses can create barriers to communication and may lead to misunderstandings. They often convey a lack of interest or engagement, which is counterproductive in therapeutic settings.
B. This is a valuable therapeutic communication technique. Silence allows clients to reflect on their thoughts and feelings, giving them the space to express themselves without pressure. It can encourage deeper conversation and provide opportunities for the nurse to observe non-verbal cues.
C. Offering personal opinions is generally not considered a therapeutic communication technique. It can shift the focus away from the client and may inadvertently lead to judgment or bias. Instead,
therapeutic communication emphasizes listening and understanding the client’s perspective without imposing personal views.
D. While offering sympathy may seem caring, it can sometimes lead to a focus on the nurse's feelings rather than the client's experience. Sympathy may not promote empowerment or exploration of the client’s feelings as effectively as empathy, which involves understanding and validating the client's
emotions without imposing one’s own feelings.

A. This is a healthcare system determinant of health, not a social determinant.
B. This is a demographic determinant of health, not a social determinant.
C. This is a biological determinant of health, not a social determinant.
D. Education level is considered a social determinant of health. Education level is one of the social determinants of health, as it can influence a person's access to jobs, housing, and healthcare, as well as their health behaviors and outcomes.