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. Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance, where individuals attempt to negotiate or make deals to change the outcome of a situation.

B. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. It focuses on providing comfort and improving the quality of life for individuals with serious illnesses, particularly in the end stages of life.

C. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. It involves integrating the loss into one's life and forming new roles, routines, and relationships in the absence of the deceased.

D. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life, typically due to incurable suffering or terminal illness. It is a highly controversial and legally restricted practice in many jurisdictions.

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.