CCTN Patient Education and Psychosocial Care in Transplantation 2

Question 1

Which psychological condition is most commonly seen in transplant recipients awaiting an organ on the waiting list?

Accepted Answer

Depression and anxiety

Answer

Schizophrenia

Answer

Mania

Answer

Obsessive-compulsive disorder

Question 2

A kidney transplant recipient expresses guilt about their donor's death. What is the most therapeutic nursing response?

Accepted Answer

Acknowledge the patient's feelings, normalize them, and offer connection to counseling or donor family support programs

Answer

Tell the patient they should feel grateful, not guilty

Answer

Redirect the patient to focus on their recovery

Answer

Explain to the patient that guilt is irrational

Question 3

Which lifestyle modification is most important to counsel a transplant recipient about for long-term cardiovascular health?

Accepted Answer

Smoking cessation, regular exercise, and blood pressure management

Answer

Bed rest to protect the graft

Answer

Low-protein diet to reduce graft workload

Answer

Avoiding all physical activity for the first year

Question 4

What dietary counseling should a transplant nurse provide to a patient taking tacrolimus about grapefruit?

Accepted Answer

Grapefruit and grapefruit juice must be avoided because they inhibit CYP3A4 and can dramatically increase tacrolimus levels

Answer

Grapefruit is encouraged to boost immune function

Answer

Grapefruit only affects cyclosporine, not tacrolimus

Answer

One glass of grapefruit juice per day is acceptable

Question 5

A liver transplant recipient reports drinking alcohol occasionally. What is the most appropriate nursing response?

Accepted Answer

Alcohol is absolutely contraindicated after liver transplantation due to risk of graft injury and recurrence of alcoholic liver disease

Answer

Moderate alcohol is acceptable after liver transplantation

Answer

Occasional alcohol is only concerning if liver enzymes are elevated

Answer

Advise the patient to limit to one drink per week

Question 6

Which transplant patient situation requires mandatory referral to social work?

Accepted Answer

Patient expresses inability to afford medications or housing instability

Answer

Patient asks questions about medication side effects

Answer

Patient requests a second medical opinion

Answer

Patient has questions about returning to work