About current nuclear threats, I'd personally would have worried more about Pakistan and Israel, rather than Iran, North Korea or China.
Speaking about China (once again to debunk some myths). They've got 48 ICBM, out of which only 36 could reach the US. In theory... because in practice there were no test launches that reached claimed maximum range goal acceptable for intercontinental ballistic missiles, i.e. 8000 km minimum. Maximum range ever proven by test launches were within Chinese territory, i.e. 3000-3500 km range.
At the moment launches could be performed only from national territory, Chinese SSBNs aren't battle-ready and won't have chances leaving aquatory of South and East Chine Seas undetected anyway. So that limits threatened territories to Alaska and Hawaii, no further. Besides there're good chances of interception of smth like couple of dozens of unmaneuverable warheads before they reach US territory. In other words, threat is miminal.
//Answering the OP. Of course, there's a point. We're in the middle of WW3 (practically), if not for the nukes it'd be much bigger than series of local conflicts.