A 20-year-old obese female client is preparing to have gastric bypass surgery for weight loss. She says to the nurse, "I need this surgery because nothing else I have done has helped me to lose weight." Which response by the nurse is most appropriate?
A. "If you eat less, you can save some money."
B. "Exercise is a healthier way to lose weight."
C. "You should try the Atkins diet first."
D. "I respect your decision to choose surgery."