A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

A. Spirituality can increase the quality of life: Spirituality plays a significant role in end-of-life care and can positively impact a client's well-being. Engaging in spiritual practices, finding meaning and purpose, and connecting with one's beliefs or faith can enhance the overall quality of life for individuals facing the end of life. Research has shown that spiritual beliefs and practices can provide comfort, hope, and a sense of peace, contributing to a higher quality of life during this challenging time.

B. Spirituality can increase feelings of hopelessness: While spirituality generally fosters feelings of hope and comfort, it is possible for individuals to experience spiritual distress or questioning that may temporarily increase feelings of hopelessness. However, this is not the typical outcome of spiritual engagement for most individuals near the end of life.

C. Spirituality can increase depression: Engaging in spirituality and connecting with one's beliefs or faith often serves as a source of solace and support, which can help alleviate symptoms of depression. While spiritual struggles or existential questions may arise, spirituality is more commonly associated with reducing depressive symptoms rather than increasing them.

D. Spirituality can increase the desire to hasten death: Spirituality often provides individuals with a sense of meaning, purpose, and hope, which can serve as protective factors against the desire to hasten death. While spiritual distress or questioning may occur, it is not typically associated with an increased desire to hasten death.

A. Anger: The behavior of pushing others away and expressing hostility or frustration ("Go away, I don't want company") is indicative of the anger stage in Kübler-Ross's stages of dying. During this stage, individuals may experience feelings of resentment, frustration, or anger towards themselves, others, or their situation.

B. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. The behavior described does not reflect acceptance but rather resistance and refusal of company.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The behavior described does not reflect bargaining but rather a rejection of company.

D. Denial: Denial is characterized by refusing to accept the reality of one's impending death or the severity of one's condition. While the behavior described may involve avoidance or rejection, it is more indicative of anger than denial.

E. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior of pushing others away may result from feelings of depression, it is more specifically aligned with the anger stage, where hostility and frustration are prominent.