Computed tomography of a 72-year-old woman reveals lung cancer with metastasis to the liver

The patient's son has been adamant that any "bad news" be withheld from his in order to protect her from stress, stating that this is a priority in his culture. How should the nurse and the other members of the care team best respond?
A) Explain to the son the team's ethical obligation to inform the patient.
B) Refer the family to social work.
C) Have a nurse or physician from the patient's culture make contact with her and her son.
D) Speak with the son to explore his rationale and attempt to reach a consensus.


Ans: D
Feedback:
Nurses must promote open dialogue and work with patients, families, physicians, and other health care providers to reach the culturally appropriate solution for the individual patient. A referral to social work is not a sufficient response and enlisting a caregiver from the same culture may not be ethical or effective.

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