NCLEX-RN

Category - Care Management

An HIV+ client, admitted for Kaposi’s sarcoma and pneumocystic pneumonia, is coming to terms with his terminal diagnosis. He expresses interest in becoming an organ donor. What is the best response?
  1. “I will ask the organ-donor rep to go over the information with you.”
  2. “How does your family feel about this decision?”
  3. “That’s not allowed.”
  4. “What a generous thought; unfortunately, organ donations aren’t possible with your diagnosis.”
Explanation
Answer: D - To meet this client’s need for acceptance of his terminal diagnosis, the nurse must form and maintain an effective therapeutic relationship with the client. While it is the nurse’s obligation to communicate to the client that tissue and organs are not acceptable for transplant from HIV+ donors, the information should be expressed in a way that does not offend or minimize the client’s feelings, potentially forming a communication barrier.
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