A dying client tells the nurse that he doesn’t want to see his family because he doesn’t want to cause them more sadness. Which action by the nurse is most appropriate?

Choice A reason: Problem-solving involves addressing specific issues, not reflecting on feedback, which is self-evaluation. Assuming problem-solving is illustrated risks misidentifying the skill, potentially overlooking personal growth, critical to avoid in recognizing leadership development in graduate nurses reflecting on performance feedback in professional settings.

Choice B reason: Reflecting on positive and negative feedback demonstrates self-evaluation, a leadership skill where the graduate nurse assesses her performance to improve practice. This is critical for professional growth, ensuring accountability, enhancing competence, and fostering continuous improvement in nursing care, essential for new nurses transitioning into leadership roles.

Choice C reason: Interpersonal skills involve interactions, not internal reflection on feedback, which is self-evaluation. Assuming interpersonal skills are shown risks missing the introspective process, potentially undervaluing self-assessment, critical to avoid in recognizing leadership qualities in graduate nurses processing performance feedback for growth.

Choice D reason: Communication skills focus on exchanging information, not reflecting on feedback, which is self-evaluation. Assuming communication is illustrated risks overlooking the reflective process, potentially hindering recognition of self-assessment, critical to prevent in valuing leadership skills in graduate nurses improving through feedback reflection.

Choice A reason: Educating about autonomy may pressure the client, disregarding her cultural preference for family decision-making, undermining self-determination. Respecting her choice is key. Assuming education is best risks cultural insensitivity, potentially alienating the client, critical to avoid in ensuring culturally competent care for colorectal cancer clients.

Choice B reason: Encouraging the client to speak in a family meeting may conflict with her cultural deference to her uncle, compromising self-determination. Respecting her choice is appropriate. Assuming a meeting is best risks cultural imposition, potentially causing distress, critical to prevent in supporting client autonomy in cancer care.

Choice C reason: Respecting the client’s wish to defer to her uncle honors her cultural values and self-determination, ensuring decisions align with her preferences. This is critical for patient-centered care, supporting trust, cultural sensitivity, and informed choices, essential in managing colorectal cancer treatment decisions in diverse populations.

Choice D reason: Revisiting without the uncle disregards the client’s cultural preference, undermining self-determination. Respecting her choice to involve the uncle is correct. Assuming revisiting is best risks cultural insensitivity, potentially eroding trust, critical to avoid in ensuring autonomous, culturally appropriate care for colorectal cancer clients.