An elderly client has been diagnosed with metastatic cancer and has a poor prognosis of survival. The family asks the nurse for advice on whether to tell the client of the diagnosis or to keep it quiet. Which is the best response from the nurse?
A) "I wouldn't tell, if I were you."
B) "In my experience, clients who know are more likely to be involved with their plan of care."
C) "The shock of learning the diagnosis may be too much stress for an elderly person."
D) "This is a private concern that should include the physician, not me."
B
Feedback:
Sharing known facts that can enhance client care is advocating for the client and family. Clients do have the right to know their diagnosis so informed decisions can be made. Comments A and C are a reflection of personal opinion of the nurse, and opinions should be avoided. Statement D may leave the family feeling as if the nurse is cold uncaring.
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