The nurse is admitting an 89-year-old man with end stage liver disease. He declines a palliative care consult saying, “I’m not dying today.” Which responses by the nurse are appropriate to counsel the patient? Select all that apply.

The 17-year-old male patient is brought to the clinic for a yearly check-up. The nurse observes the patient to be unkempt, with greasy hair and significant body odor. The patient has a flat affect during questioning. When the nurse provides education on safety practices such as wearing a seatbelt when in the car, not driving with impaired persons, and using protection during sexual intercourse, the patient retorts, “I don’t really see the point in wearing a seatbelt, if it helps me die more quickly.” Which initial response by the nurse is most appropriate?

The nurse is educating the parents of a patient who experienced a moderate traumatic brain injury. The patient is expected to be discharged to a rehabilitation facility within the next week. Which statement by the parents indicates a need for further teaching?