NCLEX Practice Test

The nurse is caring for a client who has been pronounced brain dead. The client's family is voicing concerns about disfigurement due to organ donation. How should the nurse respond?

1. If the family is not in agreement about organ donation, we won't proceed

2. Once the body is dressed, there is no evidence of organ removal

3. Some organ procurement leaves evidence; you may want a closed casket

4. Your family member consented to be an organ donor, honor their wishes

The correct answer is: If the family is not in agreement about organ donation, we won't proceed

The best response in this situation acknowledges the family's concerns while also clarifying the process of organ donation. Expressing that once the body is dressed, there is generally no visible evidence of organ removal provides comfort to the family regarding their fears of disfigurement. This response effectively reassures the family by letting them know that they can still have a respectful presentation of their loved one after the donation procedure. Addressing the family's emotional response is essential in end-of-life care. It fosters open dialogue about their concerns while still honoring the wishes of the deceased. Organ donation processes are respectful and designed to minimize any disfigurement, allowing families to retain their traditions around grieving and honoring their loved ones. Supporting the family’s emotional needs while providing factual information about organ donation is crucial in this situation.