A nurse notices that a client who has moderate anxiety is pacing the hall and mumbling. As the nurse approaches the client, he states, "I am at the end of my rope. I don't think I can take any more bad news." Which of the following responses should the nurse make?

Choice A reason: Offering medication immediately does not address the client’s emotional state and undermines the use of therapeutic communication, which is the first-line intervention for moderate anxiety. Choice B reason: This response is generic and educational, which is not appropriate in a crisis moment. The client needs immediate support and de-escalation. Choice C reason: This response is inappropriate and harmful, suggesting a restraint that is not indicated and would likely worsen the client’s distress. Choice D reason: This is the best therapeutic response. It provides a safe environment for the client to express feelings and decreases external stimuli, helping to reduce anxiety.