A nurse is caring for a female client who is scheduled to have a pelvic examination. The client tells the nurse, "I'm really nervous because I've never had a pelvic exam before.”. Which of the following is an appropriate therapeutic response by the nurse?

Choice A rationale Stating that a pelvic exam is a mandatory requirement for birth control pills introduces irrelevant information and potentially pressures the client. While an exam may be recommended, linking it as a prerequisite for medication fails to address the client's expressed anxiety or nervousness directly. The response is dismissive and non-therapeutic, focusing on procedure rather than emotion. Choice B rationale While the nurse may be present, promising to stay during the entire exam may not be within the scope of practice or policy, and it prematurely offers reassurance without exploring the client's underlying fears. This response is a barrier to communication, as it shuts down further discussion about the client's specific concerns, which is critical for anxiety reduction. Choice C rationale This is the most appropriate therapeutic response, utilizing the open-ended technique of "Tell me more.”. This invites the client to articulate the specific sources of her nervousness, such as fear of pain, embarrassment, or anxiety about potential findings. This client-centered approach facilitates rapport and allows the nurse to provide targeted education and emotional support. Choice D rationale Simply telling a client to "relax" is non-therapeutic and minimizes the client's feelings of anxiety. This can increase stress because the client may feel unable to comply with the directive, potentially leading to increased muscle tension and difficulty with the examination. A therapeutic approach focuses on identifying and addressing the source of the nervousness first.