The Nurse Is Assessing the Expressive Functioning of a Family

The nurse is assessing the expressive functioning of a family whose 12-year-old daughter, Jan, was recently involved in a motor vehicle accident that has left her wheelchair bound. Which of the following questions is most appropriate to assess the circular communication in the family?

A) "When Jan gets dressed in the morning, whose role is it to help?"
B) "How can you tell when Mom is stressed over caring for Jan?"
C) "Who has Jan's illness caused the most distress for in the family?"
D) "When Jan is frustrated with her inability to go upstairs and yells at you, how does it make you feel?"