A 65-Year-Old Woman Comes to the Office Accompanied by Her

A 65-year-old woman comes to the office accompanied by her husband for follow-up of hypertension.  She has been prescribed a thiazide diuretic, and her dose was increased at the last visit due to poorly controlled blood pressure.  At today's visit, the patient's blood pressure remains elevated.  Her husband says, "I'm trying to do everything I can to get her blood pressure under control.  I cook healthy food and remind her to take the medication, but I'm not sure she's taking it."  The patient says, "Taking the medication is a hassle; I know my pressure has been high but I feel absolutely fine."  Which of the following responses by the physician is the most appropriate?

A) "Given your consistently elevated blood pressure, we'll have to add a second antihypertensive medication."
B) "Let's review how to take your medication and set a reminder on your phone so that you don't forget."
C) "Many patients find it difficult to take medication daily.  What hassles have you been experiencing with taking your medication?"
D) "We can consider switching to a different antihypertensive if you don't like the one you're on now."
E) "Would you feel more comfortable discussing medication without your husband present?"
F) "Your husband is correct to be concerned; what is your understanding of why controlling your blood pressure is important for your health?"