A client with severe anxiety manifested by many somatic complaints starts psychotherapy. She becomes increasingly anxious, and her physical symptoms intensify. The nurse should make which of these interpretations of her observations?

B The client may be developing a physical illness unrelated to her emotional problems. C The client is responding to therapy as expected at this time. D The client is probably beginning to have insight into her behavior. A The client needs to be involved in modifying the goals of therapy.