A terminally ill patient tells the nurse, "Life has been good. I am proud of being self-educated. I overcame adversity with willpower. I always gave my best and expected things to turn out well. I intend to die as I lived: optimistically."
The nurse planning care for this patient recognizes a critical need to:
a. provide aggressive pain and symptom management.
b. help the patient reassess and explore existing conflicts.
c. assist the patient to focus on the meaning in life and death.
d. support the patient's use of personal resources to meet challenges.
ANS: D
The patient whose intrinsic strength and endurance have been a hallmark often wishes to approach dying by staying optimistic and in control. Helping the patient use his or her resources to meet challenges is appropriate.
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