The 45-year-old husband of a client with breast cancer who died says 'If our doctor had operated sooner...' Which nurse statement would be therapeutic?

• A. You'll need to accept this.
• B. This is your fault.
• C. You'll feel better with time.
• D. Sounds as if you're feeling angry and pretty helpless right now.

Answer: (D)

In grief and guilt, the therapeutic move is to validate and reflect the person’s feelings so they can talk them through. Saying, “Sounds as if you’re feeling angry and pretty helpless right now” does just that: it names the emotion without judgment, shows you’re listening, and invites the husband to express more about what he’s feeling. This kind of reflective acknowledgment helps him feel understood, reduces defensiveness, and supports emotional processing rather than shutting down the conversation.

The other responses push the person away or dismiss his experience. Saying he’ll just need to accept it minimizes his current pain. Blaming him by saying it’s his fault adds guilt and defensiveness. Suggesting he’ll feel better with time implies his feelings aren’t valid now, which can invalidate his grief.