A client who has terminal cancer and is receiving palliative care says, "/I should start making my funeral arrangements/." Which statement indicates effective coping?

• A. I hope to have surgery to cure my cancer.
• B. I need to return to work as soon as my treatment is complete.
• C. I should start making my funeral arrangements.
• D. I still believe my cancer will go into remission.

Answer: (C)

Adaptive coping in terminal illness involves facing reality and taking steps that restore a sense of control. Saying I should start making my funeral arrangements demonstrates acceptance of the prognosis and a proactive approach to end-of-life planning. This kind of preparation can lessen anxiety by reducing uncertainty about the future and easing the burden on family, while preserving autonomy. The other thoughts—hoping for a cure through surgery, returning to work, or holding on to remission as likely—reflect denial or false hope rather than constructive coping, and can hinder necessary practical planning.