A client with terminal cancer has been told he has 3–4 months to live. Which of the following would indicate to the nurse that further interventions are needed?

Choice A reason: Reviewing life and discussing death are signs of acceptance and psychological processing. These behaviors are consistent with the tasks of dying, such as life review and meaning-making. They do not indicate denial or maladaptive coping, and thus do not require urgent intervention. Choice B reason: Expressing a desire to live life to the fullest reflects a positive coping strategy. It suggests that the client is engaging with the time remaining in a meaningful way. This attitude supports emotional well-being and does not signal a need for corrective intervention. Choice C reason: Hoping for a peaceful and dignified death is a realistic and healthy expectation for someone with terminal illness. It reflects acceptance and a desire for comfort-focused care. This statement aligns with palliative goals and does not indicate psychological distress. Choice D reason: Saying he is well and making future plans may suggest denial or lack of acceptance of the prognosis. While hope is important, unrealistic expectations can interfere with end-of-life planning, emotional preparation, and appropriate use of palliative resources. This response warrants further assessment to ensure the client understands his condition and is emotionally supported.