Julia (Aged 32)is BRCA₁ Positive,which Is Known to Greatly Increase

Julia (aged 32) is BRCA₁ positive,which is known to greatly increase the risk for breast and ovarian cancer.She was tested because her mother,who had ovarian cancer,was BRCA₁ positive.Julia has decided to have both of her ovaries removed because she believes that,in her family,being BRCA₁ positive increases the risk for ovarian cancer only.How should a genetic counselor respond to Julia's statement?

A) Encourage her to consider a bilateral mastectomy.
B) Accept Julia's explanation as a manifestation of her autonomy and remain nondirective in the interactions with her.
C) Clarify that a BRCA₁ mutation does not preferentially express ovarian cancer over breast cancer in any given family.
D) Discuss Julia's responsibility to inform all the other female members of her family about her BRCA₁ status and cancer risk.