The nurse is caring for a child who is dying. The parent asks that the child not be told he is dying. The child asks you if he is dying. Which of the following would be the most appropriate action by the nurse at this time?
1. Tell the child he is dying and offer to stay with him.
2. Offer to bring in the child life therapist.
3. Ignore the child's question and change the subject.
4. Suggest a meeting with the health care team to the parents.
4
Rationale:
1. This is going against the parents' wishes.
2. Avoiding the subject is not an option.
3. Changing the subject or ignoring the child is not good.
4. Offering to set up a meeting with the health care team to discuss the parents' fears and concerns about telling their child the truth is the best action by the nurse.
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