A patient at end of life expresses a fear of dying alone. What action should the nurse take?

• A. Assure the patient that they will not die alone
• B. Ignore the patient's fear to prevent distress
• C. Recommend counseling services for the patient
• D. Restrict visitation to avoid overcrowding

Answer: (C)

Addressing psychosocial and emotional distress at the end of life by connecting the patient with counseling services is essential. Fear of dying alone is a common, natural worry, and professional counseling provides a safe space to explore these fears, express needs, and develop coping strategies. A counselor, social worker, or chaplain can help plan for presence with loved ones, discuss hopes and preferences, and offer support that aligns with the patient’s values, reducing isolation and anxiety.

Assuring the patient they will not die alone can be comforting but isn’t a reliable guarantee and may set unrealistic expectations. Ignoring the fear ignores the patient’s needs and can worsen distress. Restricting visitation undermines the goal of providing comfort and companionship at the end of life.