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 reason: "Have you thought about taking a sleeping pill?" Suggesting a sleeping pill does not address the underlying issues causing the client's fatigue and inability to grocery shop. It may also not be appropriate without further assessment. B reason: "Your fatigue will pass, and everything will be just fine." This statement is dismissive and does not acknowledge the client's current struggle. It can make the client feel unheard and unsupported. C reason: "Do you have a family member who can assist you?" While practical, this response shifts the responsibility away from the client and the nurse. It does not explore the client's feelings or needs comprehensively. D reason: "Let's discuss how to get you the help you need." This response is an example of therapeutic communication as it shows empathy, acknowledges the client's feelings, and focuses on finding solutions. It encourages the client to talk about their needs and involves them in the care plan.