Who will be the primary concern of the nurse when viewing a family as context for a client with a terminal illness wishing to die at home?

In the context of a family-centered approach to care, when considering a client with a terminal illness who wishes to die at home, the primary concern of the nurse is the client themselves. This perspective is rooted in the understanding that the client’s preferences, comfort, and quality of life are paramount, especially in end-of-life scenarios.

When the focus is on the client, the nurse can advocate for the individual's wishes, ensuring that their needs are being met while also facilitating a supportive environment for the family. This includes managing symptoms, providing emotional support, and enabling the client to remain as comfortable as possible during this critical time.

While the well-being of the family members—like children, spouses, or the entire family—is certainly important, the client's wishes and experiences take precedence. Nurses play a crucial role in honoring the client’s autonomy and helping to navigate the complex emotions that surround end-of-life care within the family context. Therefore, ensuring that the client’s desires are acknowledged and addressed forms the core of the nursing approach in such situations.