9.4 Medium

A. Focus solely on aggressive medical treatments, avoiding any discussion of death to prevent further emotional distress, as confronting death is considered maladaptive.

B. Immediately suggest the patient sign a Do Not Resuscitate (DNR) order and a living will, as reaching acceptance is the final stage of grief and should be expedited for practical end-of-life planning.

C. Encourage open communication with the patient about their feelings, validate their anger and disbelief as natural components of a grieving process while acknowledging that stages may not be linear, and explore the benefits of hospice care for comprehensive pain management, emotional support, and maintaining dignity in a comfortable environment.

D. Advise the family to minimize visits and interaction, as the patient's anger likely suggests a desire for isolation and privacy during this acutely difficult time, aligning with the depression stage of grief.