A 38yearold woman comes for genetic counseling because of advanced maternal age. The counselor asks the patient about a cast on her arm. She states that her husband threw a chair at her in a fit of rage. The genetic counselor explores this further. The patient tells her that her husband has been abusive in the past, and she is afraid for their children. The patient believes the injury was her fault since she provoked her husband's anger. The counselor suggests that the patient speak with a social worker, but the patient declines. Which of the following is the MOST appropriate action by the counselor?
A. Ask the patient for permission to speak to the husband about the incident.
B. Encourage the patient to seek help about her abusive relationship.
C. Report the information to child protective services or the local police department.
D. Respect the patient's wishes and keep this information confidential.