Problem: An adult patient dying from end-stage heart failure confides in you that she has stopped eating and drinking to hasten her death. She states, "I've made my peace and I'm ready to go." What should be your FIRST response? Refer her for an emergent psychiatric evaluation for suicidal thoughts. Explore her suffering and motivation for hastening her death. Offer to provide additional doses of her pain medication. Scold her for being selfish and not thinking of her family.