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What action should the nurse take first when discussing organ donation with the parents of a brain-dead child?

  1. Inform the parents that written consent is required prior to organ donation.

  2. Provide written information to the parents about organ donation.

  3. Ask the provider to explain misconceptions of organ donation to the parents.

  4. Explore the parents' feelings and wishes regarding organ donation.

The correct answer is: Explore the parents' feelings and wishes regarding organ donation.

Exploring the parents' feelings and wishes regarding organ donation is the most compassionate and appropriate first step when discussing this sensitive topic. It acknowledges the emotional turmoil they are experiencing due to their child's condition and opens a dialogue that allows the nurse to understand their perspective. Understanding the parents’ emotions and wishes helps to build trust and shows that their feelings are valid and respected in this difficult time. Additionally, this approach allows the nurse to gauge the parents' knowledge and beliefs about organ donation, which may guide the subsequent conversation. It's crucial to ensure that parents feel heard and supported while they consider such a monumental decision. This empathetic engagement can lead to a more effective and meaningful discussion about the potential for organ donation and the process involved if they choose to proceed. In contrast, addressing procedural matters, providing information, or consulting with the provider could come later, but they are less immediate priorities compared to supporting the emotional needs of the parents at this moment.