Results of Genetic Testing Have Come Back and the Patient

Results of genetic testing have come back and the patient has just been told she carries the gene for Huntington disease. The patient asks you if this information is confidential and if it will remain that way. She is adamant that her fianc and family members not be told of this finding. What is the nurses best response?

A) I am ethically bound to tell your family and your fianc.
B) Your information will remain confidential until the geneticist reviews everything. Then he or she will have to tell your family.
C) Have you thought about what this disease will do to the person you are going to marry and any children you may have?
D) I will respect your wishes and keep your information confidential. I do wish you would reconsider though.