How should a nurse handle a situation where a patient does not want their family member to know about their cancer diagnosis?

The selected response is effective as it demonstrates a patient-centered approach that respects the patient's autonomy and their feelings regarding the situation. By asking the patient to express their concerns, the nurse is opening a dialogue that encourages the patient to share their thoughts and emotions about the potential impact of their diagnosis on their family dynamics. This open-ended question allows the nurse to better understand the patient's perspective and rationale behind wanting to keep the diagnosis confidential.

Exploring the patient’s feelings can also help establish trust and rapport, which are essential components of effective palliative care. It allows the nurse to guide the conversation in a supportive manner and can help the patient articulate their fears or concerns, potentially leading to a deeper discussion about how they wish to navigate family communication regarding their health. This approach is consistent with the principles of respecting patient confidentiality and autonomy, key tenets in palliative care nursing.