A nurse is caring for a client who was recently diagnosed with a terminal illness. Which of the following statements by the client indicates that they are coping effectively?

Choice A reason: This statement reflects bargaining, a stage of grief, and may indicate denial or unrealistic expectations. It does not reflect acceptance or effective coping. Choice B reason: This statement shows self-blame and guilt, which are maladaptive responses. It may hinder emotional adjustment and acceptance. Choice C reason: Seeking a second opinion may reflect hope or denial. While it is a proactive step, it does not necessarily indicate emotional coping with the terminal diagnosis. Choice D reason: Planning final wishes demonstrates acceptance, emotional maturity, and proactive coping. It reflects the client’s ability to face reality and make meaningful decisions.