Answer:
B. "Why don't you feel like washing up?"
Step-by-step explanation:
A nurse is someone that combines empathy with care in the dailycaring of the sick patients in the hospital. In order to do a succesful job, he or she needs to know when to offer emotional and therapeutic support to the patient.
In the situation of the patient in end-stage renal failure who is reluctant to talk, Asking him "Why he doesn't feel like washing up" would offer the patient the opportunity to pour out his feeling towards the nurse which he or she would offer a listening ear to. After the discussion, the nurse might go ahead to encourage the patient to participate in the hygiene care.