The nurse is caring for a client with terminal cancer who has only months predicted to live. The client avoids questions regarding plans for care (POC). Which approach is best for the nurse to use when discussing end-of-life issues with the client?

A. Get the most difficult questions over with first: Immediately addressing the most emotionally charged topics may overwhelm a client who is hesitant to discuss end-of-life care. This approach can increase anxiety, reduce engagement, and potentially lead to avoidance of important conversations rather than facilitating them. B. Share personal values to put the client at ease: While demonstrating empathy is important, sharing personal values can blur professional boundaries and may influence the client’s decisions. The nurse’s role is to provide objective information, support, and guidance while respecting the client’s individual values and wishes. C. Ask questions in a vague, nonspecific format: Using vague questions can create confusion and prevent the client from providing meaningful responses. Clear, direct, and compassionate communication is essential when discussing sensitive topics such as goals of care and end-of-life preferences. D. Begin with questions that are less sensitive in nature: Starting with less sensitive or more general questions allows the nurse to build rapport, establish trust, and gauge the client’s readiness to discuss end-of-life issues. Gradually progressing to more specific or difficult topics helps the client feel safe and supported, increasing the likelihood of meaningful engagement in planning care.