A nurse is caring for a client who is postoperative following a total knee arthroplasty. The client tells the nurse. "I will not be able to play with my grandchildren anymore." Which of the following responses should the nurse make?

A. "Why do you think you won't be able to play with your grandchildren?" is incorrect because using "why" questions can come across as judgmental or confrontational, which may make the client feel defensive or misunderstood. It focuses on justifying their feelings rather than exploring them empathetically, which is not therapeutic. B. "You will not be as active for a couple years." is incorrect because this statement is assumptive and overly directive. It provides information without considering the client’s emotional response or personal goals. It may also discourage the client and fail to address the underlying fear or anxiety about postoperative limitations. C. "I am sure you will be able to still spend time with your grandchildren." is incorrect because while intended as reassurance, this approach minimizes the client’s concerns and does not allow them to express their feelings. It assumes knowledge of the client’s functional abilities without assessment and may reduce trust in the nurse-client relationship. D. "What are some of the activities you like to do with your grandchildren?" is correct because this response is therapeutic, client-centered, and open-ended. It encourages the client to discuss specific concerns, goals, and activities they value. The nurse can assess the client’s expectations and fears regarding postoperative mobility, identify realistic activity goals and plan rehabilitation accordingly, provide emotional support by validating the client’s feelings, and facilitate shared decision-making in planning recovery and physical therapy activities.