medium · NCLEX-RN management
A 48-year-old client has been declared brain-dead following a traumatic intracranial injury. The bedside nurse is preparing to coordinate with the organ procurement organization (OPO) representative. The client's family is highly distressed and states, 'In our culture, we believe the body must remain completely intact after death to achieve peace, but we also feel a deep obligation to help others.'
Which action by the nurse is correct?
- Validate the family's cultural beliefs and facilitate a meeting with the OPO coordinator to discuss specific, culturally tailored donation and surgical restoration options.
- Inform the family that because the client is a registered donor, cultural preferences are legally overridden and donation must proceed as standard, at this point in care.
- Explain that organ donation always results in visible disfigurement of the deceased, so they should decline the process.
- Ask the hospital chaplain to meet with the family to convince them that their cultural beliefs are incorrect in this circumstance, in this situation, at this point in care.
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