What is the most therapeutic response the nurse can give to a client concerned about HIV and STI testing?

The most therapeutic response that the nurse can provide in this situation underscores the universal nature of testing during pregnancy and helps to alleviate the client's concerns about suspicion. By stating that "Every pregnant client is tested for these diseases; it doesn't necessarily suggest suspicion," the nurse normalizes the testing process, reducing the client’s anxiety. This response reassures the client that the testing is a standard part of prenatal care rather than a targeted response to a perceived health issue. It emphasizes that testing is a precautionary measure to ensure the health of both the mother and the unborn child, which is an essential component of holistic prenatal care.

In contrast, the other options may create misunderstandings or anxiety rather than alleviate it. For instance, suggesting that testing is optional could lead the client to doubt the importance of the tests, while implying that only high-risk patients require screening may leave the client feeling excluded or misunderstood, which is counterproductive to building rapport and trust.