A nurse is caring for a child who has cancer and is receiving chemotherapy. The parent tells the nurse that they want to discontinue treatment and take the child home. Which of the following responses should the nurse make?

Choice A rationale Stating that the parent "should give the treatment a chance to work" is dismissive of their concerns and feelings. This response is judgmental and paternalistic, invalidating the parent's autonomy and their right to make healthcare decisions for their child. The nurse's role is to support and educate, not to pressure or shame the parent. Choice B rationale Telling the parent to discuss their concerns with the provider is a valid option but is not the best initial response. This approach defers the conversation and does not address the parent's immediate emotional state or their reasons for the decision. The nurse's first step should be to explore the parent's feelings and understanding. Choice C rationale Asking the parent about their reasons for the decision is the most therapeutic and patient-centered response. This open-ended question encourages the parent to express their feelings, fears, and rationale. It demonstrates respect for their autonomy and opens a channel for a non-judgmental discussion, allowing the nurse to provide targeted support and education. Choice D rationale Offering to assist with gathering belongings is premature and non-therapeutic. This response assumes the parent has made a final, irreversible decision and immediately facilitates their departure without exploring the underlying reasons. It closes the door to further dialogue and does not fulfill the nurse's role as a patient advocate.