Your patient is a 49-year-old woman who is terminally ill with metastatic breast cancer. She has been coping with her impending death by speaking at cancer conventions, putting her affairs into order and looking inward for answers
The family talks with the nurse about their loved one's activities. What is the nurse aware of regarding these activities?
A) The activities could be spiritual in nature and the family would benefit if they were included whenever possible.
B) The activities may result in dysfunctional behaviors and denial, which alienates the family.
C) The activities represent the need to control her final days by showing the world and her family that she is fine.
D) The activities need to be addressed and limited so she spends time with her family, or it will result in dysfunctional grieving when she dies.
Ans: A
Feedback: Often, spiritual behavior is expressed through sacrifice, self-discipline, and spending time in activities that focus on the inner self or the soul. The families of people who are terminally ill may feel disconnected with their loved one during this period, and they need to be included in activities important to their loved one whenever possible. Option B is incorrect; any positive behavior in excess may result in dysfunctional behaviors, but there is no evidence that "she is in denial and alienating her family." Option C is incorrect; there is no evidence that she "needs to control her final days, by showing the world and her family that she is fine." Option D is a valid concern, but the answer is stated in absolute terms; there is no evidence that that she is spending too much time pursuing spiritual behaviors or that the family is uninvolved.
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