A patient with a panic disorder tells the nurse that she has a lot of job-related stress. Which response by the nurse is most therapeutic for this patient?

A. “Can you identify some of the things in your job that are causing you to feel stressed?” This is a therapeutic, open-ended question that encourages exploration of specific stressors, leading to problem-solving. B. “You need to avoid stressful situations; it would be wise to start looking for another job.” This is prescriptive and premature, suggesting avoidance rather than coping and reflection. C. “I’m really sorry you have so much job stress.” While empathetic, this does not promote further communication or assessment. D. “It is important to eliminate stressful situations so you can reduce your panic attacks.” Eliminating all stressors is unrealistic; this advice is not therapeutic and doesn’t address the client’s individual concerns.