Final answer:
The nurse should respect the family's wishes and not inform the client about his impending death, although ethical reflection and consideration of the client's autonomy are essential. Collaboration with the healthcare team can help balance these ethical principles.
Step-by-step explanation:
The nurse's best action, according to the wishes of the client's family, would be to respect their decision and not inform the client that he is dying. This approach is known as the paternalistic model of healthcare, where the healthcare team makes decisions on behalf of the patient based on what they believe is in the patient's best interest.
However, it is important for the nurse to engage in ethical reflection and critically evaluate the potential impact of withholding this information on the client's autonomy, dignity, and psychological well-being. The nurse may consider discussing the situation with the family, highlighting the potential benefits of open communication and addressing any fears or concerns they might have.
It is crucial for the nurse to balance the ethical principles of beneficence (doing what is best for the client) and autonomy (respecting the client's right to know). Collaborating with a multidisciplinary healthcare team, including social workers, psychologists, and spiritual advisors, can help ensure that the client's best interests are considered while respecting the wishes of the family.