An Older Female Patient Refuses to Answer Questions Regarding Sexuality

An older female patient refuses to answer questions regarding sexuality and asks, "What difference does it make?" How should the licensed nurse respond to this patient?

A) "It's a part of the nursing assessment."
B) "Sexual preference is a piece of data collected on all patients."
C) "It is used to identify potential health problems you might have."
D) "This is one way to make sure that all of your needs are being met."