A nurse is caring for a client who is recovering from a cerebrovascular accident in a rehabilitation facility. The client tells the nurse. "I am sick of being in here, and I want to go home." Which of the following responses should the nurse make?

Rationale: A. Although this statement may be true, it is a form of reassurance that can dismiss the client’s expressed feelings. It does not address the emotional distress the client is communicating and may discourage further sharing. B. This response uses therapeutic communication by reflecting feelings and acknowledging the client’s emotional experience. After a cerebrovascular accident (CVA), clients often experience frustration due to loss of independence and prolonged rehabilitation. Validating emotions encourages trust and further communication. C. This is giving advice and shifting responsibility away from the nurse-client therapeutic relationship. While social support is important, the nurse should first explore and acknowledge the client’s feelings. D. This deflects the client’s concern and avoids therapeutic communication. The nurse should first address emotional expression directly before involving other members of the health care team.