A nurse is caring for a client who has a terminal illness and requests palliative care. The client's family disagrees with this decision and wants aggressive treatment. How should the nurse handle this situation?

Rationale: The nurse should respect the client's identity and preferences and address them by their preferred name and pronouns, regardless of their legal name or biological sex. This demonstrates cultural competence and sensitivity and promotes a trusting relationship.

Incorrect options:

B) By their legal name and biological sex - This is an inappropriate way to address the client, as it disregards their identity and preferences and may cause distress or harm.

C) By a gender-neutral term such as "they" or "them" - This may be acceptable if the client has indicated that they prefer a gender-neutral term, but it should not be assumed without asking the client first.

D) By avoiding any direct reference to the client - This is an inappropriate way to address the client, as it implies that the nurse is uncomfortable or unwilling to acknowledge the client's identity and may create a barrier to communication and care.

Rationale: The nurse should support the client's decision and explain it to the family, as this respects the client's autonomy and dignity. The nurse should also provide emotional support and education to both the client and the family about palliative care, which focuses on relieving pain and suffering and improving quality of life.

Incorrect options:

B) Support the family's decision and persuade the client to change their mind - This is inappropriate, as it violates the client's autonomy and dignity. The nurse should not coerce or pressure the client to accept a treatment that they do not want.

C) Respect both the client's and the family's decisions and refer them to an ethics committee - This is unnecessary, as there is no ethical dilemma or conflict in this situation. The client has a right to refuse treatment and choose palliative care.

D) Respect neither the client's nor the family's decisions and follow the health care provider's orders - This is unethical, as it disregards both the client's and the family's wishes and preferences. The nurse should not follow orders that are contrary to what the client wants.