Question

A nurse is caring for a client who has terminal cancer. The client tells the nurse, 'I wish I could stop these treatments. I am ready to die.' Which of the following statements should the nurse make?

a. 'You need to continue your treatments as prescribed.'

b. 'It's important to discuss your feelings with the healthcare team.'

c. 'I understand, but you should talk to your family about this decision.'

d. 'Why do you feel that way?'

Answer 1

The most appropriate response from the nurse is to encourage the client to discuss their feelings with the healthcare team, aligning with the principles of hospice care and dying with dignity.

Step-by-step explanation:

In response to the question, the most appropriate statement the nurse should make to the client who has terminal cancer and wishes to stop treatment is: 'It's important to discuss your feelings with the healthcare team.' This acknowledges the client's feelings and needs while directing them to have an important conversation with their care providers who can discuss the options available to them, such as hospice care or palliative treatment. This approach aligns with the concept of dying with dignity and allows the patient to express their farewell to life in a manner that is consistent with their values and to receive support in their choice.

Elizabeth Kübler-Ross's five stages of grief suggest that the client may be in the phase of acceptance and it is important to provide them with the agency to openly discuss end-of-life options, including the role of medicine in facilitating a death that honors their wishes.