While Performing a Focused Interview with a Healthy Adult Client

While performing a focused interview with a healthy adult client, the nurse notes frequent position changes, wringing of hands, lack of eye contact, incomplete sentences, and rapid speech. The vital signs are BP 160/88 mmHg, apical pulse 102 beats per minute, respiratory rate 26 per minute. Which responses by the nurse are appropriate in this situation?

A) "I'm going to take your temperature now."
B) "Have you ever experienced chest pain?"
C) "Are you feeling any anxiety right now?"
D) "Are you experiencing any pain at this time?"
E) "Have you ever been diagnosed with hypothyroidism?"