Mr. Tan's latest diagnostic imaging tests reveal severe and untreatable heart disease, but his family is adamant that the care team refrain from revealing this finding to Mr. Tan
The nurse should recognize that which of the following factors may underlie the family's wishes?
A) The family members may have an inadequate understanding of the severity of his condition.
B) The family may be enacting their own form of anticipatory grief by keeping Mr. Tan uninformed.
C) The family may prefer to avoid making difficult decisions about treatment options.
D) The family may be "protecting" Mr. Tan or ensuring that he does not lose hope.
Ans: D
Culturally diverse families (eg, Asian Americans) may believe that explicitly telling the client bad news will cause unnecessary suffering or cause the client to lose hope. This is not likely a consequence of misunderstanding a diagnosis, grieving, or avoiding difficult decisions.
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