Author Question: A 2-year-old child in the pediatric unit resists going to sleep. To promote sleep, which is the best ... (Read 78 times)

beccaep · **on:** Jul 22, 2018

A 2-year-old child in the pediatric unit resists going to sleep. To promote sleep, which is the best action for the nurse to take?

a. Eliminate a daytime nap.
b. Offer the child warm chocolate milk.
c. Maintain the child's home bedtime routine.
d. Allow the child to sleep longer in the morning.

Question 2

A registered nurse (RN) works on a unit with other registered nurses, licensed practical nurses (LPN), and nursing assistive technicians. Usually a RN, LPN, and nursing assistive technician provide direct care for a group of patients.

The RN coordinates all of the care the others provide. Which type of nursing care delivery models is the RN using? a. Team nursing
b. Case management
c. Primary nursing
d. Total patient care

akudia · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
A bedtime routine (e.g., same hour for bedtime or quiet activity) used consistently helps toddlers and preschool children avoid delaying sleep. Parents need to reinforce patterns of preparing for bedtime. Reading stories, allowing children to sit in a parent's lap while listening to music or praying, and coloring are routines associated with preparing for bed. Toddlers still need naps. Sleeping longer will continue to disrupt the normal routine. Chocolate can cause a person to stay awake or wake up throughout the night.

Answer to Question 2

A
In team nursing the RN leads a team of other RNs, practical nurses, and unlicensed assistive personnel (UAP). Team members provide direct patient care under supervision of the RN. The team leader develops patient care plans, coordinates care among team members, and provides care requiring complex nursing skills. Total patient care is a nurse delivering total care to one or two patients. Case management is one nurse managing care for a specific type of patient from admission to discharge to home. The case management nurse does not provide direct patient care. When one primary RN assumes responsibility for a caseload of patients with the help of associate nurses, primary nursing is being implemented.