A nurse is caring for a client who is to start chemotherapy for advanced breast cancer. She tells the nurse she is worried about the adverse effects of the treatment. Which of the following responses should the nurse make?

A. This response is non-therapeutic because it validates the client’s fears in a negative way, potentially increasing anxiety and discouraging further communication. It reflects the nurse’s opinion rather than focusing on the client’s concerns. B. This is the therapeutic response. It uses open-ended questioning to encourage the client to express specific fears, which allows the nurse to provide targeted education, emotional support, and reassurance. This approach validates the client’s feelings while keeping the focus on their perspective and needs. It fosters trust and promotes informed decision-making. C. While involving the provider is important, this response deflects the client’s immediate concerns and may make them feel dismissed. The nurse can address general concerns, provide support, and clarify information without postponing the discussion entirely. D. Referring to external resources may be helpful as a supplement, but it does not directly acknowledge the client’s current feelings or provide immediate support. It delays therapeutic engagement with the client.