A nurse is caring for a client who is to undergo a bilateral prophylactic mastectomy. The client states that her family opposes her decision. Which of the following responses should the nurse make?

Rationale: A. This response uses therapeutic communication by reflecting the client’s statement and encouraging her to express her feelings further. It is nonjudgmental and helps the nurse explore the client’s concerns about family disagreement. B. This shifts responsibility to the provider and avoids addressing the client’s emotional needs directly. C. This is nontherapeutic because it conveys personal bias and removes focus from the client. D. The client has autonomy to make decisions about her own care, even if her family disagrees; suggesting family approval is required undermines that right.