A Client with a Terminal Illness Refuses Pain Medication

A client with a terminal illness refuses pain medication. The nurse realizes that the client may decline pain medication for which of the following reasons? (Select all that apply.)

A) Fear that the pain means the disease is worse
B) Insufficient health plan benefits to pay for the medication
C) Cultural background prevents the use of pain medication
D) Fear of becoming addicted to pain medication
E) Fear of side effects
F) Concern about being labeled as a "bad" client