The nurse is caring for a 15-year-old client who is dying. The client

QUESTION

The nurse is caring for a 15-year-old client who is dying. The client tells the nurse, “I know I am not going home again. I think it is harder for my parents than me. Will you talk to them for me?” Which of the following is the best response by the nurse?

a. “It is true that you will be dying soon, but you must be honest with your parents.”
b. “That’s not true, but I will talk to your parents.”
c. “You are having a bad day, so I will be back later to see if you need anything else.”
d. “Yes, I will talk to your parents, but you need to talk to them also. I will help you with that.”

ANSWER:

ANS: D
Nurses are key informants about client status and changes in the client’s condition. There are fundamental differences in the level of information an individual or family will desire. The response of the client should determine the content and pace of sharing information. Talking with families about care details and potential outcomes should happen often, but even more frequently when the client’s health status begins to decline or show a change. It is often difficult for families to talk about death, and the nurse can facilitate communication. It is important to be honest; false information and reassurances can increase feelings of isolation.