An adolescent with recurrent leukemia expresses a desire to die peacefully. Weeks later, the patient is critically ill and the parents ask whether to escalate care. The nurse’s most appropriate response is:
A.
“I will support whatever decision you decide upon.”
B.
“As I remember, your child expressed a desire to die peacefully.”
C.
“Perhaps try one more day of treatment to see if there are any changes in condition.”
D.
“Legally you have the right to make that decision.”
This situation represents a conflict betweenadolescent autonomyandparental authority. The nurse must maintain anonjudgmental, supportive role, allowing the family toexplore values and make informed decisionswithout imposing interpretation.
“In end-of-life situations, nurses should offer emotional support, facilitate shared decision-making, and respect family values. Supporting the decision—regardless of direction—is key.”
(Referenced from CCRN Pediatric – Professional Caring and Ethical Practice: End-of-Life Ethics and Family-Centered Care)
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