A home health nurse is caring for a client who reports feeling tired and being unable to grocery shop. Which of the following responses by the nurse is an example of therapeutic communication?

A. "Have you thought about taking a sleeping pill?": This response directs the client toward a specific intervention without exploring their feelings or needs. It is not therapeutic because it assumes a solution rather than facilitating communication or understanding. B. "Your fatigue will pass, and everything will be just fine.": This is reassuring in a non-specific way and can minimize the client’s experience. It does not validate the client’s feelings or encourage further discussion about their needs. C. "Do you have a family member who can assist you?": While this gathers some information, it is closed-ended and may limit further discussion. It does not explore the client’s concerns or collaboratively plan support. D. "Let's discuss how to get you the help you need.": This response demonstrates therapeutic communication by acknowledging the client’s difficulty, showing empathy, and inviting collaborative problem-solving. It encourages open dialogue and focuses on practical support.