Question

A hospice nurse is caring for a preschooler who has a terminal illness. One of the child's parents tells the nurse that it is too difficult to cope any longer and has decided to move out of the house. Which of the following responses should the nurse make?

A: "Let's talk about a few ways you have dealt with stress in the past."
B: "I believe that you will regret that decision. Your family needs your support."
C: "I agree that you have to do what is best for your well-being at this time."
D: "I think you should try to put your feelings aside and focus solely on your child."

Answer 1

C: "I agree that you have to do what is best for your well-being at this time."

Step-by-step explanation:

It is essential for the nurse to acknowledge the parent's emotional struggle and prioritize their well-being. Option C is the most empathetic and supportive response. In such challenging circumstances, the nurse should avoid passing judgment or attempting to influence the parent's decision. The focus should be on providing emotional support and understanding, allowing the parent the autonomy to make decisions based on their own needs and coping mechanisms.

The parent's decision to move out may stem from their own emotional distress and coping limitations. The nurse's role is to create a safe space for open communication, fostering an environment where the parent feels heard and supported. Suggesting stress coping mechanisms or expressing skepticism about their decision (as in options A and B) may add additional pressure and hinder the parent's ability to cope effectively.

Instead, by expressing agreement with the need for the parent to prioritize their well-being, the nurse promotes a compassionate approach that recognizes the complexity of the situation and respects the parent's autonomy in making decisions for their own mental health.