A Rare Malignancy Will Require the Amputation of an Adolescent

A rare malignancy will require the amputation of an adolescent client's leg. The client refuses the surgery, stating: "I would rather die than have my leg amputated". The nurse plans future interventions based upon which of the following?

A) The fact that the parents will have the ultimate decision about surgery.
B) The ability of the adolescent to understand medical terminology.
C) Concern about need for education regarding the danger of delaying surgery.
D) The knowledge that adolescents are very concerned about body image.