The nurse is planning care for the client whose nursing diagnosis is Death Anxiety. What should the nurse plan to discuss with the client first?
1. Advanced directive
2. The client's knowledge about the diagnosis and prognosis
3. Whether the client would like a lawyer to draw up a will
4. The stages of grief
Answer: 2
1. Discussing advanced directives first would likely increase the client's anxiety level.
2. The first step would be to assess the client's knowledge level about the disease and prognosis.
3. Discussing the will is anxiety-producing, and might be explored later in the relationship.
4. Decreasing anxiety is the goal of the nurse, so the nurse first assesses what the client's emotional state is before discussing wills, wishes, or the stages of grief.
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