An older adult client on a palliative care unit divulges to his nurse that he fears being in pain during the dying process. How can the nurse best respond to the client's admission?
A) "It sounds like you're understandably anxious about this. How can I help you to relax?"
B) "A lot of clients do have pain at the end, and we will do all we can to control it for you."
C) "We will do all we can to address it, and you'll be able to have a peaceful passing."
D) "Pain during the dying process actually is not nearly as common as many people believe."
Ans: B
Acknowledging that a lot of clients do have pain at the end and that staff will do all they can to control it both acknowledges the client's specific concern and provides a realistic response that the pain will be treated as effectively as possible, but does not guarantee a pain-free dying process. Acknowledging the anxiety and offering relaxation assistance do not address the specific concern about pain. Stating that the client will have a peaceful passing makes a promise that is not possible to guarantee. Pain is a common accompaniment to the dying process.
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