While the nurse is taking a health history, the client announces, "I don't have time for this. This is a waste of time. I need treatment." Which response is best for the nurse to provide?

Rationale: A. "I am sorry you feel that way. Perhaps you'd like to return when you have more time.": This response dismisses the client's frustration and offers an exit rather than addressing the emotional barrier that could affect treatment. It risks increasing the client's anger and damages therapeutic communication. B. "You sound angry. Would you like to tell me about it?": Acknowledging the client's emotions and offering an opportunity to express feelings is therapeutic. It validates the client’s frustration, encourages open communication, and helps build rapport, which can improve cooperation during the health history and subsequent care. C. Move closer and place a hand on the client's shoulder to demonstrate concern: Physical touch can sometimes comfort clients, but in cases of visible anger or agitation, it can feel intrusive or threatening. Physical contact without permission, especially when emotions are high, may escalate the situation instead of calming it. D. Ignore the angry outburst and continue with the history questions: Ignoring the emotional outburst misses an important chance to address the client's psychological needs. Continuing without acknowledgment can lead to greater resistance, lack of cooperation, and a breakdown in the therapeutic relationship.