A patient with terminal cancer says to the nurse, "I just don't know if I should allow CPR in the event I quit breathing. What do you think?" Which statement by the nurse would be most beneficial to the patient?
a. "If it were me, I would want to live no matter what."
b. "Don't worry. You have plenty of time to decide that later on."
c. "It's totally up to you. Have you discussed this with your family?"
d. "Let's talk about what CPR means to you."
ANS: D
The use of the value clarification process is helpful when assisting patients in making health care decisions regarding end-of-life care. Giving advice or telling patients what to do is unethical and not recommended. Ignoring a patient concern or changing the subject is inappropriate. Patients should be given factual information in order for them to make their own decisions.
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