Final answer:
Palliative care should be initiated to enhance the quality of life for someone in a terminally ill state.
Step-by-step explanation:
When faced with a terminally ill state, the most appropriate option to initiate would be B. Palliative care to enhance quality of life. Palliative care focuses on providing comfort, relieving pain, and enhancing the overall quality of life for patients with serious illnesses, rather than pursuing aggressive medical treatments to prolong life.