Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Medical & Surgical Nursing
Medium
During organ transplantation the living donor must give consent related to all components; EXCEPT:
Appeared in: Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Explanation
- Informed consent in living organ donation is a rigorous process designed to protect the donor's health and autonomy.
- This process requires the donor to agree to a comprehensive health evaluation, the surgical procedure, and all associated care, which critically includes post-operative follow-up.
- A donor consents to receiving follow-up care to monitor their recovery and long-term health; they do not consent to the absence of follow-up.
- Therefore, 'No follow up' is the one component that is NOT part of the consent agreement, making it the correct answer to this 'EXCEPT' question.
Why Other Options Were Wrong
- Option A: This is incorrect because the donor must understand and voluntarily agree to the entire consent process itself. This ensures their decision is informed and free from coercion.
- Option B: This is incorrect because the donor must consent to a comprehensive medical and psychosocial evaluation. This is a mandatory step to ensure they are physically and mentally fit for donation.
- Option C: This is incorrect because consenting to the specific surgical procedure, including its risks, benefits, and alternatives, is a core and non-negotiable element of informed consent.
Related Visual
Clinical Relevance
- Nursing practice connection: Knowing Informed Consent for Living Organ Donors helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
- Nurses play a vital role as advocates in the consent process, ensuring the donor fully understands the information, has had all questions answered, and is not under any pressure or coercion.
- The nurse must be vigilant for any signs of misunderstanding or ambivalence from the donor and report these concerns immediately to the transplant coordinator or physician.
- What if? If a potential donor expressed a desire to refuse post-operative follow-up appointments, this would be a major red flag. The nurse's priority would be to explore the donor's reasoning, re-educate on the critical importance of follow-up for their own safety, and notify the transplant team. This refusal would likely halt the donation process as it indicates a lack of understanding of the commitment and risks.
How to Approach the Question
- First, identify the negative keyword 'EXCEPT'. This tells you that three of the options are required components of consent, and you must find the one that is not.
- Analyze each option from the perspective of donor safety and ethical principles. The entire process is designed to protect the living donor.
- Consider the logical flow of the donation process: evaluation, surgery, and recovery (which includes follow-up).
- Evaluate the option 'No follow up'. Follow-up care is essential for the donor's health after a major surgery. Therefore, a donor would consent to follow-up, not to the lack of it.
- This makes 'No follow up' the logical outlier and the correct answer to the 'EXCEPT' question.
Concept Tested & Keywords
- Concept Tested: Informed Consent for Living Organ Donors
- Stem keywords: organ transplantation, living donor, consent
- Lead-in keywords: EXCEPT
- Negative lead-in flag: Question is negatively framed
Question ID
QFoUXWOA9grqTwUvp3uzxa
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 7925-7927, 7924-7926
Practise the full Combined AIIMS - 2020 (Jodhpur, Bhopal, Patna, Raipur)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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