After Years of Dialysis,an 84-Year-Old States,"I'm Exhausted,depressed,and Done with These

After years of dialysis,an 84-year-old states,"I'm exhausted,depressed,and done with these attempts to keep me alive." Which question should the nurse ask the spouse when preparing a discharge plan of care?

A) "Have there been any changes in appetite or sleep?"
B) "How often is your spouse left alone?"
C) "Has your spouse been following a diet and exercise program consistently?"
D) "How would you characterize your relationship with your spouse?"