A community health nurse is talking with a client who has chronic kidney disease and is unsure if they want to begin hemodialysis. Which of the following statements should the nurse make?

Choice A reason: While it is true that many clients can resume usual activities while on hemodialysis, this statement does not address the client’s uncertainty. It provides reassurance but does not encourage exploration of the client’s feelings or concerns, which is essential in therapeutic communication. Choice B reason: Asking “Why are you unsure?” can sound confrontational and may make the client defensive. It does not promote open dialogue in a supportive manner. Choice C reason: Asking the client to clarify what makes them unsure is therapeutic. It invites the client to share their concerns in a nonjudgmental way, allowing the nurse to better understand their perspective and provide individualized support. This is the correct answer because it fosters communication and client-centered care. Choice D reason: Recommending that the client talk to their family shifts responsibility away from the nurse-client relationship. While family support is important, the nurse’s role is to explore the client’s feelings and provide education, not to delegate the decision-making process.