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A client who has been deemed competent and requires long-term mechanical ventilation privately tells a nurse that he or she wants the ventilator withdrawn. Which response by the nurse is best?

"What about your family?" "You have been doing so well." "You are asking us to do something we can't do." "Tell me how you are feeling."

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Final answer:

The nurse should respond empathetically to a competent client's request to withdraw mechanical ventilation by asking 'Tell me how you are feeling' to encourage discussion about the patient's feelings and care preferences.

Step-by-step explanation:

In response to a client who is competent and requires long-term mechanical ventilation expressing a desire to have the ventilator withdrawn, the most professional and empathetic response by the nurse would be, "Tell me how you are feeling." This open-ended approach respects the patient's autonomy and provides a safe space for the patient to discuss their feelings and desires regarding their care. While the decision to withdraw life-sustaining treatment is complex and may involve legal and ethical considerations, it is important for healthcare professionals to listen to and acknowledge their patient's wishes, providing support and information.

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