The loved ones of a young man, who is in the intensive care unit on life support after suffering irreversible brain damage resulting from a motorcycle accident, have been approached by the organ transplant team to consider organ donation. When they ask the nurse about this process, the nurse's best response would be:

"Often families are comforted by the knowledge that some good came from this tragedy."

"Organ donation will probably delay the funeral."

"Because your son has been on life support, the only organs they can use would be his kidneys."

"There is a small cost to the family for the donation, but it is for a good cause."

Answer and Explanation

The Correct Answer is A

A. This response acknowledges the potential comfort that can come from knowing that the tragedy may lead to saving other lives through organ donation. It emphasizes the positive impact that organ donation can have, which may provide some solace to the loved ones during a difficult time.

B. This response focuses on the logistical aspects of organ donation and may unnecessarily add stress to the situation by mentioning a delay in the funeral. It does not address the potential benefits of organ donation or provide emotional support to the loved ones.

C. This response provides inaccurate information about organ donation. Organ donation is not limited to just kidneys, and various organs and tissues can be donated depending on the circumstances and the donor's medical history. Additionally, this response does not address the emotional aspects of organ donation or provide reassurance to the loved ones.

D. This response mentions a small cost associated with organ donation, which may not be accurate as organ donation typically does not involve financial costs for the donor's family. Additionally, focusing on the cost detracts from the altruistic and compassionate nature of organ donation and may cause unnecessary concern for the loved ones.

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Correct Answer is A

Explanation

A. Anger: The behavior of pushing others away and expressing hostility or frustration ("Go away, I don't want company") is indicative of the anger stage in Kübler-Ross's stages of dying. During this stage, individuals may experience feelings of resentment, frustration, or anger towards themselves, others, or their situation.

B. Acceptance: Acceptance involves coming to terms with one's own mortality and the reality of impending death. The behavior described does not reflect acceptance but rather resistance and refusal of company.

C. Bargaining: Bargaining involves attempting to negotiate or make deals to change the outcome of a situation. The behavior described does not reflect bargaining but rather a rejection of company.

D. Denial: Denial is characterized by refusing to accept the reality of one's impending death or the severity of one's condition. While the behavior described may involve avoidance or rejection, it is more indicative of anger than denial.

E. Depression: Depression involves feelings of sadness, hopelessness, and despair. While the behavior of pushing others away may result from feelings of depression, it is more specifically aligned with the anger stage, where hostility and frustration are prominent.

A. excluding hospital care. B. helping the patient dies easily and quickly at home. C. supporting assisted suicide if that is the patients wish. D. focusing on symptom management and comfort care.

Correct Answer is D

Explanation

A. Hospice care does not exclude hospital care entirely. While the primary focus is on providing care in the patient's preferred setting, whether it be at home, in a nursing facility, or in a hospital, hospice services can extend to these settings as needed.

B. Hospice care does aim to provide comfort and support to patients at the end of life, but it does not focus on hastening death. Instead, it emphasizes enhancing the quality of life and ensuring comfort during the dying process, whether at home or in another setting chosen by the patient.

C. Hospice does not support assisted suicide or euthanasia. Its primary goal is to provide holistic care and support to patients and their families during the end-of-life period while upholding the patient's dignity and autonomy.

D. Hospice philosophy emphasizes symptom management and comfort care as its primary focus. The goal is to enhance the quality of life for terminally ill patients by addressing physical, emotional, and spiritual needs while supporting both the patient and their family through the dying process.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "Go away, I don't want company. "

Correct Answer is A

Explanation

A terminally ill patient and his family have requested hospice care. The nurse clarifies hospice care philosophy as:

Correct Answer is D

Explanation

A terminal patient asks the nurse if he could be given a deliberate overdose of medication that would "end this." According to the Code for Nurses, the nurse's most ethical response would be:

A dying patient who verbalizes that he “is ready” is indicating that he is in the following stage.

Directions: Correlate the behavior with Kübler-Ross's stages of dying from the choices below. "She's not that sick!"

When the nurse notes an increase in the level of daily function in the terminal patient, the nurse assesses that this patient has reached Kübler Ross's level of:

Nurses may have a difficult time dealing with patient deaths if they

The emotional feeling of pain and loss is known as

A neighbor who was widowed 2 months ago gives the nurse his wife Helen's gardening books "because the two of you loved flowers." He tries to hold back tears, but begins to cry. To decrease his discomfort, the nurse should say: