Your patient, who is usually very talkative, does not respond to you when you enter the room, When asked why she is so quiet today. Ms. Smith responds, "I feel like nobody cares." Which response below is the best one for you to say to Ms. Smith?

A. “Ms. Smith, you're wrong about that. Of course, we care.” This is dismissive and invalidates her feelings. It shuts down communication rather than exploring her emotions. B. “Ms. Smith, maybe the doctor can change the dosage of your medication. That will make you feel better.” This jumps to a solution without first understanding the cause of her feelings. It also medicalizes emotional distress prematurely. C. “I care or I wouldn't continue to work here.” This response shifts focus to the nurse and may appear defensive or self-serving. D. “Like nobody cares? Please tell me more about what you are feeling.” This is a therapeutic response that encourages Ms. Smith to open up and feel heard. It uses reflection and invites further discussion.