According to Glaser and Strauss, the closed awareness model can be applied to family, friends, care providers, and the dying individual. Which of the following statements are true of the closed awareness model? (Select all that apply.)
a. Medical personnel and family keep the condition secret from the client.
b. Caregivers and client know about impending death but do not talk about it.
c. Caregivers and client accept death and have open conversations.
d. Dying client feels isolated from the ability to share with family.
e. Dying client becomes suspicious of the truth, and information is tightly controlled by family.
A, D, E
The closed awareness model is one in which the goal of care providers and family seek to keep the truth from the client. The belief centers around the rationale that telling the client the seriousness of the condition would be too upsetting. As the client begins to realize the seriousness of his condition, caregivers limit and control information. The mutual pretense model is one in which both client and family know about the pending death, but do not discuss it. In the open awareness model, the client and family have open communication and accept death.
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