Patients may also have physical needs that need to be considered when using these interventions. It is important that patients are treated fairly and without judgment, regardless of their culture, gender, diagnosis, sexual orientation, disability, ethnicity or religious/spiritual beliefs. Mental health nurses are skilled in using therapeutic communication techniques. They use different forms of communication with patients to help them heal or cope with their mental state. Giving recognition, being available and accepting, offering encouragement, verbalizing observations, rephrasing what the patient has said, asking for clarification, putting the patient's feelings into words, and many other therapeutic techniques are used during communicating with a patient. Providing verbal instructions, advice and reassurance to mental health patients is essential for nurses. Teaching patients how to cope with their mental disorders helps them feel more empowered and in control, in a situation where they have very little control over their lives.