A nurse is counseling a client who has advanced-stage lung cancer about the use of palliative care. Which of the following client statements indicates an understanding of the information?

A. "Who is available to help you?"

While support systems are important, assessing for suicidal thoughts takes precedence to ensure the client's safety.

B. "Is there anything that makes you feel less depressed?"

Exploring coping mechanisms and what alleviates depressive symptoms is important, but it may not be the most urgent concern in this context.

C. "Are you having any thoughts about hurting yourself?"

This question is crucial as it assesses the client's risk of self-harm or suicide, which is a priority concern in someone seeking help for depression. It helps identify the immediate safety of the client.

D. "Could you describe how you are feeling today?"

While exploring the client's feelings is important, the question about thoughts of self-harm directly addresses the immediate risk associated with depression.

A. Initiate topics of conversation that avoid the client's health status.

Explanation: Avoiding discussions about the client's health status may hinder open communication and the expression of the client's feelings and concerns. It is essential to provide an opportunity for the client to discuss their thoughts and emotions if they wish to do so.

B. Recommend the client seek out hospice services rather than seek treatment.

Explanation: While hospice services may be appropriate for end-stage cancer care, recommending hospice should be based on a comprehensive assessment of the client's wishes and needs. The decision to pursue treatment or hospice is a personal one, and the nurse should support the client's choices after thorough discussion.

C. Place the client's name and medical condition on an online prayer chain.

Explanation: Privacy and confidentiality are critical in healthcare. Sharing the client's name and medical condition on an online platform may compromise confidentiality. It's essential to respect the client's privacy and obtain their consent before sharing personal information.

D. Provide quiet time during visits for prayer or meditation.

Explanation: Providing quiet time during visits for prayer or meditation recognizes the spiritual and emotional needs of the client. It allows the client to engage in activities that bring comfort, peace, and reflection. Creating a supportive and contemplative environment aligns with the holistic care approach, acknowledging the importance of spiritual well-being during the end-of-life journey.