Which response by the nurse is therapeutic when a male client with ascites states that he no longer wants a paracentesis?

The response that invites the client to articulate his reasons for refusing the procedure is therapeutic because it demonstrates active listening and respects the client’s autonomy. By asking the client to explain his feelings, the nurse encourages open communication and fosters a supportive environment where the client feels safe to express his concerns or fears. This approach can help the nurse understand the client's perspective, which is crucial for building rapport and trust.

Understanding why a client may refuse treatment is essential in nursing practice. It allows healthcare providers to address specific issues, fears, or misconceptions, which may lead to better-informed decisions. This response emphasizes the client's role in their own care, aligning with person-centered care principles, which focus on the individual’s values and preferences in healthcare decisions. Engaging the client in this dialogue can also make them feel more in control and involved in their treatment plan.

In contrast, other responses either undermine the client's autonomy or do not promote effective communication, which may lead to feelings of anxiety or resistance regarding their care.