The nurse is caring for a client with the diagnosis of colon cancer with metastasis to the liver. Which statement made by the client indicates an understanding of the diagnosis?
A) "Once the colon tumor is removed, I will be fine."
B) "I will be happy once all the cancer is cut out."
C) "How could I be so unlucky to get cancer twice?"
D) "My cancer has now spread to my liver."
D