Question

A client with end-stage heart failure is awaiting a transplant. The client appears depressed and states, "I know a transplant is my last chance, but I don't want to become a vegetable." What is the nurse's best response?

a. "Would you like to speak with a priest or chaplain?"
b. "I will consult a psychiatrist to speak with you."
c. "Do you want to come off the transplant list?"
d. "Would you like information about advance directives?"

Answer 1

The nurse's best response to a client worried about becoming a vegetable after a transplant is to offer information about advance directives. Advance directives enable individuals to specify their healthcare preferences and maintain control over their medical decisions.

Step-by-step explanation:

The nurse's best response to the client with end-stage heart failure who is worried about becoming a vegetable after a transplant would be option d. "Would you like information about advance directives?"

By offering information about advance directives, the nurse addresses the client's concerns about losing control over their medical decisions and quality of life. Advance directives allow individuals to specify their healthcare preferences in the event they are unable to make decisions for themselves, ensuring that their wishes are respected.

For example, through a living will or a DNR order, the client can express their desire to forgo life-extending treatments or interventions if they feel their quality of life would be severely compromised. This empowers the client to make informed decisions and maintain autonomy.