When assessing a client with metastatic breast cancer regarding her support systems, the nurse should focus most on:

Focusing on support systems and coping strategies is crucial when assessing a client with metastatic breast cancer. Patients facing such a significant health challenge often experience various emotional, social, and practical needs that can greatly influence their ability to cope and maintain quality of life.

Support systems encompass the network of family, friends, and health professionals that the client can rely on for emotional and practical assistance. Effective support can help alleviate feelings of isolation, enhance the patient's sense of security, and promote resilience in the face of their illness. Additionally, exploring coping strategies provides insight into how the patient manages stress and emotional turmoil related to their diagnosis, allowing the nurse to tailor interventions that encourage positive coping mechanisms and address potential maladaptive behaviors.

While considerations such as decision-making abilities and practical issues like transportation and financial assistance are certainly important, they do not encompass the broader and more impactful aspect of how the patient manages their illness within the context of their relationships and emotional well-being. Similarly, while denial can be a coping mechanism, focusing primarily on this aspect may overlook the opportunity to strengthen beneficial support systems and coping strategies that have a positive impact on the patient's overall health and adjustment to their condition.