A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, "I don't know what I will do if they find I have cancer." Which of the following responses should the nurse make?

Rationale: A. This response dismisses the client’s feelings and provides false reassurance. It shuts down communication and prevents the client from expressing his genuine anxiety about the possibility of cancer. B. This response is judgmental and may make the client feel defensive. It focuses on the nurse’s curiosity rather than the client’s emotional state, and it does not support therapeutic communication. C. While discussing medical concerns with the provider is important, this response deflects the client’s emotional expression instead of addressing his anxiety in the moment. It misses the opportunity to provide support and empathy. D. This is the most therapeutic and appropriate response. It uses reflective listening, acknowledging the client’s fear and inviting further discussion. By restating the client’s concern, the nurse demonstrates empathy and understanding, encouraging the client to express feelings and reduce anxiety before surgery.