When a terminally ill patient expresses a desire to discuss prognosis, the most appropriate intervention is to

When a terminally ill patient expresses a desire to discuss prognosis, the most appropriate intervention is to

• A. Discourage discussion of death or dying
• B. Refer the patient for pastoral counseling
• C. Relate the therapist's experiences with other patients
• D. Encourage the patient's statement of feelings

Answer: (D)

Open, empathetic communication that invites the patient to express their feelings about prognosis is the best response. This validates their emotions, helps them process fears and hopes, and guides subsequent care planning. Discouraging discussion of death or dying shuts down an important part of coping. Referring for pastoral counseling or sharing personal experiences may be supportive, but does not address the patient’s immediate need to voice their own thoughts and emotions; the primary action is to listen and encourage expression.

Open, empathetic communication that invites the patient to express their feelings about prognosis is the best response. This validates their emotions, helps them process fears and hopes, and guides subsequent care planning. Discouraging discussion of death or dying shuts down an important part of coping. Referring for pastoral counseling or sharing personal experiences may be supportive, but does not address the patient’s immediate need to voice their own thoughts and emotions; the primary action is to listen and encourage expression.