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I am challenging a question in need of one point for my final. It was a select all that apply that went something like this: pt was upset after he learned his new kidney was from a young child stating it was unfair for the child to die for him to have that kidney.How would the rn know he has overcome his moral dilemma? answers was, He is seen thanking the parents of the child, he is talking about offering his time to work with other transplant recip. I also selected pt is seen asking his dr how many more years this kidney will give him. They are saying no, my thoughts was, well now he has overcome that anger and resolved his moral issue. no? I stand by my answer and think it should be honored. Any insight or articles would be appreciated oh so much!

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Specializes in GI Surgery Step-down.

Well i think every nursing school has this kind of problems. Usually professors do what ever they want. Even some time is not in book. They assume we have to think as they think like 30 year of nursing experience. We just read book and that's it vs they have experience. I really can't support your idea but if only few people pick that answer you won't win. Usually when majority people pick same answer better. If it's a medication question etc maybe u could beat well but this type questions are really not easy to fight.

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Specializes in Med/Surg, Ortho, ASC.

The above poster said it very well. In a question that requires nursing judgment, you are pretty much at the mercy of the nursing staff unless a few dozen of your classmates also raise a ruckus.

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So the reason I posted was if I can prove my answer belongs then I get the point(as per our dean) I am a horrible test taker and my clinical evals are always amazing, coursework the same, never been reprimanded or anything close, so I am challenging it.

Oh how true that statement is!

professors do what ever they want. Even some time is not in book. They assume we have to think as they think like 30 year of nursing experience.

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You could make the argument that by asking how long the kidney is good for, the patient is forward looking in an attempt to make plans for his life - which indicates acceptance. He is not dwelling on the past (i.e. kid died for his kidney). Acceptance is the final stage of grief - if pt has accepted the kidney and is discussing long term plans, his grieving dilemma has resolved.

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I agree with the above posters. Additionally the choice stating that he was seen asking his doctor how many more years his kidney will give him may not show he has overcome his moral dilemma b/c it could be interpreted as the pt. being conflicted. As in, "this child had to die to give me a kidney for me to get only x more years of life while he had a whole life ahead of him/her". Depending on the doctor's answer, it may or may not show that he has resolved his dilemma. I think it shows he may still be trying to work it out. I may or may not be right...just my 2 cents. Hope it helps you see things from another angle.

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Did not see "greenerpastures" reply before I posted. That's a good way to look at it, too and will bolster your point.

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which was my argument all along...If you teach us to think critically well okay its more then just the two other obvious answers. That is why I am challenging it.

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Specializes in NICU.

I would go with "No" on the third choice. Asking the doctor how long the kidney is good for may indicate that he is thinking "I have X number of years to feel guilty having a child's kidney". "Once the kidney fails I can have an adult's kidney and end my guilt"

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Specializes in Complex pedi to LTC/SA & now a manager.
I would go with "No" on the third choice. Asking the doctor how long the kidney is good for may indicate that he is thinking "I have X number of years to feel guilty having a child's kidney". "Once the kidney fails I can have an adult's kidney and end my guilt"

^this. This is not a healthy sign of resolving moral conflict. This is more indicative of planning on a shortened life span.

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Specializes in L&D, infusion, urology.

I agree that the third response would not be about accepting the new kidney. More about trying to reason with himself his expanded lifespan, determine how long he has to handle the guilt, or other unresolved issues, but acceptance wouldn't be my first thought if a questions like that was asked of a patient.

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Specializes in Oncology; medical specialty website.

If I were taking that test I would not select the third option. It doesn't have anything to do with a healthy response to a kidney transplant from a pediatric donor.

Do you need credit for this question in order to pass the course?

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