Author Question: The nurse working in a neonatal intensive care unit (NICU) is caring for a critically ill ... (Read 109 times)

Chelseaamend · **on:** Jun 25, 2018

The nurse working in a neonatal intensive care unit (NICU) is caring for a critically ill 28-week-old preemie.

The parent calls the nurse and asks if it would be possible to bring the client's 2-year-old sibling to visit because the sibling is having nightmares about the client's death. Small children are not permitted to visit because of the risk of infection to the infants on the unit. Which action by the nurse is appropriate?
A) Seek permission from unit management and the neonatologist to allow the sibling to visit.
B) Offer to make counseling available to the sibling.
C) Tell the parent that visiting is not permitted and offer to take pictures of the client.
D) Tell the parent to bring the sibling in to visit in the middle of the night.

Question 2

A novice nurse is looking for employment and hopes to find a facility where the nursing staff participates in making, implementing, and evaluating client care policies. Which organizational module implements these practice?

A) Client-focused care
B) Differentiated practice
C) Managed care
D) Shared governance

Qarqy · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: A

The nurse realizes that certain rules are in place for the protection of clients. The nurse would be compassionate enough to seek permission to allow the sibling to visit and see that the infant is alive and being cared for. Telling the parent what the rules of the unit are will only increase the family's frustration when they are looking to the nurse for assistance. Offering counseling may or may not be an effective means of assisting the family. The sibling needs to be reassured that the infant is alive. The nurse would not make the decision without the permission of the management team.

Answer to Question 2

Answer: D

Shared governance is an organizational model in which nursing staff are cooperative with administrative personnel in making, implementing, and evaluating client care policies. Differentiated practice is a system in which the best possible use of nursing personnel is based on their educational preparation and resultant skill sets. This model consists of specific job descriptions for nurses according to their education or training. Client-focused care is a delivery model that brings all services and care providers to the client. Managed care focuses on cost containment, consumer satisfaction, health promotion, and preventive services.