Author Question: The parents of a premature infant are visiting their baby in the neonatal intensive care unit for ... (Read 66 times)

ts19998 · **on:** Jul 19, 2018

The parents of a premature infant are visiting their baby in the neonatal intensive care unit for the first time. The nurse observes the couple standing beside the incubator.

Which of the following interventions will help facilitate the infant's immediate mental health needs? 1. Notify the infant's physician to come and talk with the parents
2. Facilitate stroking and touching their infant
3. Continue to observe their interactions to rule out a problem with bonding
4. Have them meet with other parents of premature infants

Question 2

A team meeting is scheduled to teach nurses about communicating with clients who are using defense mechanisms. The instructor understands that more teaching is needed when a nurse says which of the following?

1. Defense mechanisms are not helpful and must be challenged.
2. People use defense mechanisms every day, though they are not aware of it.
3. Defense mechanisms are used when you feel threatened or anxious.
4. Primitive and early-formed defenses would be stronger and more difficult to change.

Mochi · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

2
Rationale: Helping the parents stroke and touch their infant is the first step in facilitating the attachment process, which is essential to developing a socioemotional bond. Having the parents meet with the physician or other parents of premature infants will be beneficial but will not help meet the infant's immediate mental health needs. The nurse will need to observe the new family's interactions, but intervening to help the parents interact with their infant would be the priority action.

Answer to Question 2

1
Rationale: Defense mechanisms are helpful ways of reducing anxiety; challenging them would be more threatening to the client and would increase anxiety. Defense mechanisms are unconscious processes and protect people from feelings of anxiety. Habitual patterns of use can develop over time, making defensive behavior difficult to change.