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. Of this type is not curative and may help reduce the pain he is experiencing: This response provides accurate information about the purpose of palliative radiation therapy for bony metastases. It acknowledges the patient's concerns about treatment not curing the cancer while emphasizing the potential benefit of radiation therapy in reducing pain and improving quality of life.

B. Will be used as a single treatment measure. Previous medications will be discontinued: This statement is inaccurate and may cause confusion for the patient. Palliative radiation therapy is often used in conjunction with other pain management strategies, and discontinuing previous medications without a proper assessment and plan may not be appropriate.

C. May disqualify him from receiving hospice care: This statement is incorrect. Receiving palliative radiation therapy does not automatically disqualify a patient from hospice care. Hospice care focuses on providing comfort and support to terminally ill patients, and decisions about treatments such as radiation therapy are made based on the patient's goals and preferences.

D. May halt the metastatic process: Palliative radiation therapy is not typically used with the intention of halting the metastatic process. Its primary goal is to alleviate symptoms such as pain and improve the patient's quality of life. While radiation therapy may shrink tumors in some cases, it is not considered a curative treatment for metastatic cancer.

A. Bargaining B. palliation C. reorganization D. assisted suicide

Correct Answer is B

Explanation

A. Bargaining: Bargaining refers to a stage in Kübler-Ross's model of grief and acceptance, where individuals attempt to negotiate or make deals to change the outcome of a situation.

B. Palliation: Palliation refers to the relief of symptoms when a cure is no longer possible. It focuses on providing comfort and improving the quality of life for individuals with serious illnesses, particularly in the end stages of life.

C. Reorganization: Reorganization, also known as the reconstruction stage, is part of Worden's Four Tasks of Mourning model. It involves integrating the loss into one's life and forming new roles, routines, and relationships in the absence of the deceased.

D. Assisted Suicide: Assisted suicide involves intentionally helping a person end their life, typically due to incurable suffering or terminal illness. It is a highly controversial and legally restricted practice in many jurisdictions.

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Naxlex Comprehensive Predictor Exams

An oncologist has recommended that a hospice patient receives palliative radiation to reduce the pain of bony metastases. The patient reacts with anger, saying, "l don't want any more treatments that don't cure my cancer!" The hospice nurse tells the patient that the use of radiation:

Correct Answer is A

Explanation

The relief of symptoms when a cure is no longer possible is known as:

Correct Answer is B

Explanation

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

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

A nurse is caring for a client who has cancer and is receiving palliative care. Which of the following statements should the nurse identify as an indication that the client understands and accepts his prognosis?

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. "

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

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 33-year-old patient has been told that her disease is terminal. The patient is crying and states, "l will just be a dependent drain on my family. I hate being a burden to them." The nurse can best respond:

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: