The nurse is caring for a client whose family does not want to tell him that he is dying. What is the nurse's best action according to these wishes?
1. Arrange an encounter with the client and tell him the truth.
2. Change the subject when the client asks about his impending death.
3. Tell the family that the patient has the right to know that he is dying.
4. Talk to the family about the situation and their concerns.
Correct Answer: 4
Rationale 1: The nurse should not talk with the client before discussing the situation with the family.
Rationale 2: The nurse should not change the subject if the client asks about impending death, but should not encourage such an encounter before discussing the situation with the family.
Rationale 3: The nurse should discuss the reasons why the family does not want the client to be aware of impending death before offering advice.
Rationale 4: In this situation, the best and first thing the nurse should do is talk with the family about what is happening and what their concerns are. The nurse should investigate religious, cultural, and family traditions regarding telling the client about impending death.
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