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. "What are some of the activities you like to do with your grandchildren?": This response uses therapeutic communication by encouraging the client to share feelings and focus on meaningful activities. It helps the nurse understand the client’s concerns and promotes collaborative planning for postoperative mobility and participation. B. “I am sure you will be able to still spend time with your grandchildren.": Offering reassurance prematurely may minimize the client’s concerns and does not explore their feelings. It can shut down communication rather than helping the client express and process emotions about functional limitations. C. "You will not be as active for a couple years.": Providing a time-based prognosis can be discouraging and may increase anxiety or hopelessness. It does not address the client’s emotional needs or encourage discussion about adaptive strategies for participation. D. "Why do you think you won't be able to play with your grandchildren?": Asking "why" questions can feel confrontational and may lead to defensiveness. It is less effective in promoting open dialogue and understanding of the client’s feelings compared to open-ended, reflective questions.