Peter Drucker once stated that "The most important thing in communication is to listen to what is not said." This statement can be substantially true in any type of communication. The three types of communication focused on are intrapersonal, interpersonal, and group (small group, organizational) communication and how they differ from therapeutic communication along with what therapeutic communication entails (Taylor, 2015). Intrapersonal communication is reflection and conversation with oneself, interpersonal communication is when two or more individuals come together to achieve a common goal, and group communication can be broken down into small groups (two or more nurses working together to achieve a goal) and organizational (when nursesThis is important in the fact that nurses must communicate precisely and in detail with all their colleagues to achieve a safe and quality environment not only for everyone else, but also for every patient who is entrusted with care. When there is a breakdown in communication a patient may suffer greatly, such as a patient who has a breakdown in skin integrity and communication is delayed or not provided to the nurse assigned to the patient, or when a patient is transferred to another facility and the intake only reads the medical record summary, while ignoring the nurse's notes that the patient was at risk for pressure ulcers could lead to further complications for the patient ( Anthony, 2010). The patient developed this unnecessary ulcer due to a breakdown in communication. Communication breakdowns can occur when a nurse dehumanizes a patient instead of recognizing the patient as truly important in the healthcare process, when a nurse fails to listen to the patient's verbal or nonverbal desire to speak or be heard, thus missing an effective opportunity of communication that could favor a quality relationship between the patient and the nurse, non-therapeutic communication such as clichés, using only yes or no questions, avoiding questions that ask why, how, probing information or leading because it can be perceived as threatening (Taylor, 2015 ). Comments that give advice or appear to be judgmental should also be avoided as these can also cause the patient to become defensive (Taylor,