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?

Rationale: A. "You will not be as active for a couple years.": This response is judgmental and prescriptive, providing a time frame without exploring the client’s feelings or concerns. It may discourage the client and does not facilitate discussion about personal goals, expectations, or coping strategies. B. "What are some of the activities you like to do with your grandchildren?": This open-ended, therapeutic response encourages the client to express feelings and share personal experiences. It allows the nurse to assess the client’s concerns, identify limitations, and collaboratively plan interventions to support functional recovery and return to meaningful activities. C. "Why do you think you won't be able to play with your grandchildren?": Asking “why” can come across as challenging or confrontational, which may make the client defensive or anxious. It does not validate emotions and may hinder open communication about fears or perceived limitations. D. "I am sure you will be able to still spend time with your grandchildren.": This response provides false reassurance and minimizes the client’s concerns. It does not explore the client’s feelings or help identify realistic strategies to maintain engagement and activity following surgery.