A terminally ill client who has a life expectancy of 5 months expresses anxiety about hospice care and states "I am afraid I will die sooner if I receive hospice care". Which statement should the nurse include in the client's teaching about hospice care?
Explanation & Rationale
Hospice care is a palliative model emphasizing symptom relief, quality of life, psychosocial support, and dignity during terminal illness. It neither accelerates nor postpones death, instead addressing pain, dyspnea, anxiety, and spiritual needs through interdisciplinary, patient-centered end-of-life care. Rationale: A. Grieving process acknowledgment addresses emotional coping but does not correct the client’s misconception about hospice hastening death. Therapeutic communication is important, yet education about hospice purpose is required. Therefore misconception clarification is not achieved with this response. B. Care coordination and decision support are components of hospice, but this statement does not directly address the client’s fear about dying sooner. It lacks reassurance regarding hospice intent. Thus incomplete explanation fails to resolve the client’s specific concern. C. Chronic illness management describes palliative care broadly, not hospice-specific goals for terminal conditions. It does not clarify that hospice does not hasten death. Therefore incorrect focus makes this statement inaccurate for addressing the client’s concern. D. Holistic approach accurately describes hospice care, emphasizing symptom management and comfort without accelerating death. It directly addresses the client’s fear and corrects misunderstanding. Therefore symptom-focused care provides appropriate education and reassurance.