A nurse is caring for a client dying of HIV-related pneumonia. The client is unable to come to terms with the fact that she is dying and feels that life has been unfair to her. How can the nurse promote acceptance of death in this client?
A) Tell the client that the illness can be overcome.
B) Ask the client if she wants to meet and thank her loved ones.
C) Inform the client that the reports show improvement.
D) Ask the relatives not to discuss death in front of the client.
B
Feedback:
The nurse should ask the client if she wants to meet and thank her loved ones or say anything in particular to anyone. The nurse should help the client to maintain her dignity at all times, provide emotional support, and support the client's choices concerning terminal care. Telling the client that the illness can be overcome, or informing the client that the reports show improvement, is being dishonest with the client, which goes against the Dying Person's Bill of Rights. The nurse must not ask the relatives not to discuss death in front of the client, as the client needs to know that her family will miss her after death and her family may find it helpful to talk with her.
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