A nurse is assessing a client who is to undergo a left lobectomy to treat lung cancer. The client tells the nurse that she is scared and wishes she had never smoked. Which of the following responses should the nurse make?

A. This response is therapeutic and client-centered. It acknowledges the client’s feelings (“It’s okay to feel scared”) and encourages expression of emotions (“Let’s talk about what you are afraid of”). This approach helps the nurse assess the client’s concerns and provide emotional support, fostering trust and open communication. B. Although expressing empathy is important, sharing personal experiences (“I was a smoker also”) shifts focus from the client to the nurse and may make the client feel minimized or judged. Professional boundaries must be maintained. C. Saying “Don’t worry” dismisses the client’s feelings and provides false reassurance. It prevents the client from discussing genuine fears and does not promote emotional healing or coping. D. Assuring the client about the surgeon’s skill also offers false reassurance. While intended to comfort, it minimizes the client’s anxiety and does not encourage discussion of their emotions or concerns.