A dying client asks, How do I tell my parents I am dying of AIDS when they didn’t know I am gay? Which statement would be therapeutic?

• A. You should tell them immediately
• B. Sounds as if you're thinking that it's time for you to tell your parents about your disease
• C. They will understand better
• D. It isn't necessary

Answer: (B)

The key idea is therapeutic communication through reflective listening that validates the patient’s feelings and invites deeper exploration. Saying “Sounds as if you’re thinking that it’s time for you to tell your parents about your disease” mirrors the client’s inner process, acknowledges the complexity of coming out and disclosing a terminal illness, and opens space for the patient to discuss readiness, fears, timing, and possible next steps. It shows empathy, avoids judging or directing the decision, and helps the patient articulate goals and concerns in a nonthreatening way.

Other options push a specific course of action, minimize the patient’s emotional burden, or dismiss the concern, which can undermine autonomy and fail to address the patient’s need to process a delicate disclosure with supportive guidance.