student in need of help

LadyFree28, BSN, LPN, RN · Dec 13, 2014

The one you selected was not the best response. :no: ; the one chosen was the best answer; other posters have explained the rationale quite nicely. :yes:

RNsRWe, ASN, RN · Dec 13, 2014

As I was reading through all the options selected, I thought "why would the recipient be asking NOW how long this kidney will last? Wouldn't this be something discussed during the prep stage, while on the UNOS list?" In other words, NOT something that would normally be asked after the fact, and especially not since he KNOWS he has a child's kidney. A reasonable person would recognize that young organs would last longer....and he is struggling with just HOW long that might have to be, since he's suffering his conscience now. He's trying to figure out how long he has to deal with the moral conflict.

Sorry, but that option would be the one I'd have left off. I don't know what other choices you might have had, but if this was SATA.....this would be enough to make the entire answer wrong.

mrsboots87 · Dec 14, 2014

I have to agree with those stating that your third choice was wrong. You have a pretty slim chance of proving that it was correct, especially because I doubt you will find a book reference saying that it is correct. Basically, if an answer can be interpreted as either right or wrong depending on how you look at it, or what you add to it, then it is probably wrong.

When I read that option, my first thought was that I would not pick it as correct because it doesn't show any kind of acceptance. He could be asking about how long it will last because he has accepted the kidney and no longer feels a moral dilemma, or he could be asking because he wants to know how long he will have to live with the guilt of having a childs kidney. Because it can be seen either way, it is wrong. In NCLEX world, answers are usually pretty definite. These types of questions are a little trickier, but there is still the general rule of if the answer is too vague and can be interpreted multiple way, it is likely wrong.

Why does one question matter so much? Are you literally going to fail the course over the 1 question? If so, then either pick a different question to argue, or just accept that you didnt make the grade. By failing by one point, it means you were likely riding the line this whole semester anyway, and could use another go around to really retain what you learned so you can apply it later. Having good clinical grades is relatively easy to do, and does not show you ability to critically think and apply information as well as theory does. Which is why you fail even if you are doing good in one but no the other component of the course. GL with whatever happens.

boobear0299 · Dec 14, 2014

Sorry to not clarify but that was a sata question

boobear0299 · Dec 14, 2014

and yes one question will fail me, not to mention the entire 90 something of us failed this final except 2 students

RNsRWe, ASN, RN · Dec 15, 2014

Sounds like if more than 90 students failed a particular test, and only two passed, there is something to discuss with the teacher about testing methods used.

It doesn't change my opinion of this one question (and I doubt the others would change their minds either) but perhaps your instructor can address the issue of why this test tripped up so many. You're not saying the other 90 students are also all failing the COURSE, correct?

Esme12, ASN, BSN, RN · Dec 15, 2014

and yes one question will fail me, not to mention the entire 90 something of us failed this final except 2 students

If 90 other students failed this test then there is a problem with the teaching or the test.

It still doesn't change that the answer to the question isn't asking about how long will the kidney last.

boobear0299 · Dec 15, 2014

I agree. This test had around 23/100 sata and I am guessing those tripped up a lot of people. It has been brought up to the higher ups w/o any concern. strange

nurseprnRN, BSN, RN · Dec 16, 2014

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!

No, sorry. Asking how long he will will live with this graft doesn't say a thing about his feelings about his moral dilemma.

Many students confuse the idea of "This is a true statement" or "... could be a true statement" or "... sounds reasonable and understandable to me" with the underlying concept of the question. Sometimes a true statement has nothing to do with the question being asked.

This question isn't about the kidney, or even about transplants. It's a psychosocial question. This means you have to look at the answers from a psychosocial perspective.

1) Thanking the parent of the child* would only be possible if he were no longer conflicted about the moral dilemma, guilt about living because the child died, etc. So that's a correct answer.

2) Offering to volunteer to work with other recipients would indicate he has accepted his role in receiving this gift and is no longer conflicted about it. Good answer.

3) His asking "how many years this kidney would give him" says nothing about this dilemma. You have made the jump that he is no longer angry or conflicted, but there is no evidence of that in either the question or the fact that he is asking it.

I know this may be hard for you to accept, but you have to expand your understanding of psychosocial nursing as you will apply it in non-psych settings... as you will. That's the point of this question.

*(actually, this would likely not happen at all, as recipients are rarely in touch with donors especially if it's a cadaver donor. But for sake of argument, we will assume the circumstances permitted it.)

suzw · Jan 24, 2015

But did you fail just the final or the entire course? If it was just the final but you passed the course, I would let this question go (I agree with others, it was a prognosis question, not evidence of resolving a moral dilemma). But it sounds like there are other problems going on if that many failed it.