Background: Establishment of effective communication, understanding of individual and being able to help should be among the skills of the nurses acquired during education. Nurses while caring the patients with effective communication and empathy they can establish patients requirements more correctly. As a result of this, patient adaptation and treatment adjustment can improve and health of the patient is affected positively and the patient can be discharge in a shorter time. Objectives: This study was done to establish the relationship between the first years nursing students emphatic tendency, empathy and communication skills with self knowledge and communication management course academic achievement averages. Methods: Data were collected by Individual Information Form and Communication Skills Assessing Scale, Emphatic Tendency Scale and Emphatic Skill Scale-B Form. Percentage, t test and Pearson correlation analysis were used for analysis of the data. Results: Average age of the students who took part in the research is 18.08 ± 1.59. Students mother’s 73.2 %, father’s 58.9% primary school graduates respectively. Students 35.7 % took communication information before. Emphatic Tendency point averages of the students 75.91 ± 8.35, Emphatic Skill point averages of the students was 131.05 ± 14.82. Communication Skills average point was 81.10 ± 7.63, self knowledge and communication management course academic achievement average point was 66.16 ± 6.31. Conclusion: In this study there was statistical positively significant relationship between of self knowledge and communication management course academic achievement average point and emphatic skills average point.