Which statement by the nurse is most therapeutic for a client in end-stage renal failure who is reluctant to participate in hygiene care?

The statement "What are your feelings right now?" is therapeutic because it invites the client to express their emotions and thoughts, creating an opportunity for open communication. This approach fosters a supportive environment that acknowledges the client's feelings, which is particularly important for someone experiencing end-stage renal failure, as they may be feeling overwhelmed, anxious, or depressed.

By directly asking about their feelings, the nurse demonstrates empathy and encourages the client to articulate their concerns, thereby helping to build trust and rapport. This can also facilitate a better understanding of the client's reluctance to engage in hygiene care, allowing the nurse to address any underlying issues or misconceptions that may be influencing the client’s behavior. Overall, this response emphasizes the importance of emotional support in healthcare interactions, particularly in challenging situations.