The client in the rehabilitation hospital refuses to participate in physical therapy following surgery for repair of a fractured right femur sustained in a motor-vehicle accident (MVA). The client also fractured the left forearm. Which should the nurse implement first when encouraging the client to participate in therapy?

D Determine why the client refuses to participate in therapy sessions. B Have the health-care provider make the client go to therapy. A Medicate the client for pain 30 minutes prior to the therapy. C Explain that insurance will not pay if the client does not participate in therapy daily.