What is genuine truth telling in end-of-life care, and what ethical tensions may arise?

• A. Withholding information to preserve hope.
• B. Honest disclosure of prognosis and options with sensitivity; tensions include maintaining hope, timing, and respecting patient and family dynamics.
• C. Always disclose every detail even if distressing.
• D. Focus on medical facts only without consideration of patient preferences.

Answer: (B)