After Years of Dialysis, an 84-Year-Old States, "I'm Exhausted, Depressed

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?"