A Chinese client who is brain dead and a plan to donate organs is discussed with the family, but the nurse disagrees with the plan. What is the reason for the nurse’s disagreement?

• A. The family values patient autonomy above all
• B. Keeping the deceased body intact is a fundamental cultural belief
• C. Hospital policy prohibits organ donation
• D. Organ donation is not medically feasible

Answer: (B)

Respecting cultural beliefs and the role of family in decision-making is the main idea here. In many Chinese communities, keeping the body intact after death is a deeply held value tied to honoring ancestors and ensuring a proper burial. Organ removal or procedures that alter the body can be seen as disrespectful or disruptive to these rites, so families may resist or have strong concerns about donation.

The nurse’s disagreement reflects the need to honor those beliefs and to approach the conversation with cultural sensitivity. Rather than moving ahead with organ donation, the nurse would work to understand the family’s values, provide information in a culturally appropriate way, and involve the appropriate support—such as a cultural liaison or social worker—so decisions align with the family's beliefs. This emphasis on respecting body integrity and cultural norms guides the nursing approach, rather than focusing on policy or medical feasibility alone.