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 D

Explanation

A. Staying positive and optimistic at all times may not be realistic or helpful when supporting grieving patients and families. It's essential for the nurse to acknowledge and validate the range of emotions experienced by individuals who are grieving, which may include sadness, anger, and despair.

B. While understanding theories of grief can be beneficial, it is not the most crucial aspect of providing effective support. Empathy, active listening, and validation of emotions are often more important in supporting grieving individuals.

C. Keeping a professional distance from the situation may hinder the nurse's ability to provide empathetic and compassionate care. While maintaining professionalism is important, forming a therapeutic relationship often requires a degree of emotional closeness and empathy.

D. Coming to terms with his or her own view of death is essential for providing effective support to grieving patients and families. Nurses who have unresolved issues or fears related to death may struggle to provide empathetic and supportive care to individuals who are grieving. Personal reflection and self-awareness can help nurses manage their own emotions and biases, allowing them to better support others during times of grief.

A. Do not force the client to stay awake B. Administer pain medication by rectal or transdermal when client can no longer swallow C. Position the client on her side D. Offer to turn and reposition client every 2 hours

Correct Answer is ["A","B","C","D"]

Explanation

A. Do not force the client to stay awake: Palliative care focuses on providing comfort and dignity to the patient, and forcing the client to stay awake would not align with this goal. Allowing the client to rest as needed is essential for maintaining comfort during the end-of-life process.

B. Administer pain medication by rectal or transdermal when client can no longer swallow: As the client approaches death, they may lose the ability to swallow oral medications. Administering pain medication rectally or via transdermal patches ensures that the client continues to receive adequate pain relief even when oral intake is no longer possible.

C. Position the client on her side: Positioning the client on her side helps prevent aspiration if there is vomiting and promotes comfort by reducing pressure on bony prominences. This position also facilitates effective airway management and can help alleviate respiratory distress.

D. Offer to turn and reposition client every 2 hours: Turning and repositioning can help prevent pressure ulcers and maintain skin integrity, during the terminal stage of illness. The frequency of turning and repositioning may be adjusted based on the client's comfort and clinical condition.

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Naxlex Comprehensive Predictor Exams

The nurse is aware that in order to provide effective support to grieving patients and families, the nurse must?

Correct Answer is D

Explanation

A nurse is providing palliative care to a client who is receiving hospice care and is approaching death. Which of the following actions should the nurse take? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

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:

A hospice nurse is caring for a client who is approaching death and has fecal incontinence. Which of the following actions should the nurse take?

The emotional feeling of pain and loss is known as

Directions: Correlate the behavior with KübIer-Ross's stages of dying from the choices below. "I'm going after that company for using that chemical on the field next door. "

A nurse is caring for a client who has been diagnosed with end-stage liver cancer. Which of the following statements by the client indicates that the client is in the denial phase of the grief process?

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

When the patient says, "l can die happily if I can live long enough to see my first grandchild that will be born next month." The nurse assesses that this patient is experiencing Kübler Ross's stage of:

A terminal patient in a skilled nursing home has stated that he does not want to get out of bed, because he is too tired and weak to sit in a chair. He sleeps on and off all day and night, his position is changed every 2 hours, and he is comfortable on his pain regimen. The next day the nurse will: