When a child with metastatic osteosarcoma asks, "Am I going to die?", what should the nurse respond?

The appropriate response in this situation is meant to acknowledge the child's feelings and concerns, facilitating an open dialogue. When the child asks, "Am I going to die?", it indicates a deep-seated fear and need for reassurance, as well as a desire for clarity about their condition. By responding with empathy—encouraging the child to express their worries and share what they have been informed about their illness—the nurse fosters a supportive environment.

This approach not only validates the child’s emotions but also allows the healthcare provider to assess the child’s level of understanding and emotional state. It encourages a conversation that can guide the nurse in providing both emotional support and factual information regarding the child’s condition. Such communication is crucial when dealing with children facing serious illnesses, as it can help them feel safe and cared for.

In contrast, responses that focus on strength, treatment options, or assurances of survival may seem dismissive of the child's immediate feelings and fears. Such answers might not appropriately address the emotional complexity of the situation, potentially leading to further anxiety or misunderstanding. Supporting open communication is essential in nursing practice, especially in pediatric care, where emotional and psychological support are pivotal in the treatment process.