A Patient with Rheumatoid Arthritis Refuses to Take the Prescribed

A patient with rheumatoid arthritis refuses to take the prescribed methotrexate (Rheumatrex) , telling the nurse "That drug has too many side effects. My arthritis isn't that bad yet." The most appropriate response by the nurse is

A) "You have the right to refuse to take the methotrexate."
B) "Methotrexate is less expensive than some of the newer drugs."
C) "It is important to start methotrexate early to decrease the extent of joint damage."
D) "Methotrexate is effective and has fewer side effects than some of the other drugs."