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. "Did you tell your provider that your family doesn't agree with your decision?": While it’s appropriate for the provider to be aware of family concerns, this response diverts focus away from the client’s feelings and does not promote open communication. The nurse should first explore the client’s emotions and perspective before suggesting further discussion. B. "You are making the same decision I would make.": This statement introduces the nurse’s personal opinion, which is nontherapeutic and shifts focus away from the client. It does not encourage expression of the client’s own values, beliefs, or reasoning behind her decision. C. "You should get your family to agree with your decision before signing the consent.": The client’s consent is based on her own autonomy, not family approval. Suggesting she must gain their agreement undermines her right to make independent healthcare decisions. D. "Your family disagrees with your decision?": This therapeutic, open-ended response encourages the client to share more about her family’s feelings and her own emotional experience. It demonstrates active listening, fosters trust, and allows the nurse to better understand and support the client’s perspective.