An older adult client with cancer of the liver is in a hepatic coma and unresponsive. How should the practical nurse (PN) respond to family members who are inquiring about the condition of their loved one?
Explanation & Rationale
A. Convey that their loved one's condition is very critical, and there has been no response in the last 24 hours: While accurate, providing detailed prognostic information or implying imminent death is beyond the PN’s scope and may cause unnecessary distress. B. Relay that the nurses have not been able to arouse the client and the healthcare provider knows the outcome: Sharing partial or speculative information can lead to confusion and anxiety. The PN should avoid giving definitive prognoses. C. Explain the client's extremely critical condition and ask if funeral arrangements have been made: Discussing end-of-life arrangements is inappropriate for the PN to initiate and may be distressing and premature without guidance from the healthcare team. D. Refer the family to the charge nurse to discuss the client's condition in a family conference: The charge nurse or healthcare provider is responsible for providing detailed updates and supporting the family. Referring the family ensures accurate information is given in a controlled, supportive setting, aligning with professional scope and ethical practice.