A nurse is caring for a client who has terminal cancer and requests to receive hospice care at home. The client's family members express concern about the client's decision and ask the nurse to convince the client to stay in the hospital. Which of the following responses should the nurse make?

Rationale: The nurse should acknowledge the family members' concern, but also respect the client's right to autonomy and self-determination regarding end-of-life care. The nurse should explain that the client has the right to choose where they want to receive hospice care, whether it is at home or in another setting.

Incorrect options:

B) "I think you should respect your loved one's decision, as hospice care can provide comfort and quality of life at home." - This option is partially correct, as hospice care can provide comfort and quality of life at home for clients who have terminal illnesses. However, this option may imply that the nurse is taking sides with the client or judging the family members for their concern. The nurse should avoid making personal opinions or assumptions about the best option for end-of-life care, as this may vary depending on the client's preferences and values.

C) "I'm sorry, but your loved one has made up their mind, and there is nothing you or I can do to change it." - This option is dismissive and insensitive, as it does not acknowledge or address the family members' concern or attempt to provide support or information. The nurse should engage in open and empathetic communication with the family members to address their concerns and provide education and resources about hospice care.

D) "I agree with your loved one's decision, as hospice care at home is more cost-effective and convenient than hospital care." - This option is inappropriate, as it focuses on cost-effectiveness and convenience rather than the client's autonomy and right to choose their preferred care setting. The nurse should prioritize the client's wishes and values when discussing end-of-life care decisions.

Rationale: The nurse should allow the client to practice their religious rituals, such as praying five times a day facing Mecca, as this can help them cope with stress, anxiety, and pain, and promote healing and recovery. The nurse should also respect the client's privacy and dignity during their prayer times, and avoid interrupting or disturbing them unless necessary.

Incorrect options:

A) Provide pork-free meals for the client. - This option is correct, as pork is forbidden in Islam, and the nurse should provide meals that are consistent with the client's dietary restrictions and preferences. However, this option is not the best, as it is not specific to the client's surgical care, and it is a standard practice for all clients who follow Islam.

C) Encourage family members to visit during visiting hours only. - This option is incorrect, as family members play an important role in providing emotional and spiritual support to the client, and may also assist with personal care or decision making. The nurse should accommodate the client's wishes regarding family visitation, and collaborate with the health care team and the facility policies to ensure safety and infection control.

D) Assign a same-sex nurse to perform personal care for the client. - This option is incorrect, as it may not be feasible or realistic to assign a same-sex nurse to every client who practices Islam, and it may also limit the client's access to quality care. The nurse should respect the client's modesty and preferences regarding personal care, and provide privacy, draping, and chaperones as needed. The nurse should also explain the rationale and benefits of any invasive or intimate procedures, and obtain the client's consent before performing them.