Communication competency is an impression formed about the appropriateness of an other's communicative behavior . Competence includes self-disclosure,empathy,assertiveness,and interaction mangement . Nurses in charge of communication should emphasize relationship and empathy that occurs between clients. It means that communication competence is transmission of ideas and feelings between people and the understanding and acceptance of the other . Empathy takes place in relationships and Interactions and where individuals are sharing emotion and sentiment with each other