NPS NPS Family-Centered Care and Ethics 3

Question 1

During a family meeting regarding a critically ill neonate, the NPS notices the parents seem confused by medical jargon. What is the best communication strategy?

Accepted Answer

Use teach-back method: ask parents to explain information in their own words to verify understanding

Answer

Continue using standard terminology to maintain professional credibility

Answer

Provide only written materials to avoid overwhelming them verbally

Answer

Limit information to protect parents from distress

Question 2

A neonate with trisomy 18 is born with multiple severe anomalies. The parents request full resuscitation. What is the most appropriate provider response?

Accepted Answer

Honor parental wishes while providing honest prognostic information and offering palliative care as an option

Answer

Refuse resuscitation as trisomy 18 is universally fatal

Answer

Resuscitate without discussion to avoid conflict

Answer

Refer decision to hospital ethics board before delivery

Question 3

NICU noise levels above which threshold are considered potentially harmful to neurodevelopment in preterm neonates?

Accepted Answer

55 dB

Answer

40 dB

Answer

45 dB

Answer

65 dB

Question 4

Which model of care best supports family involvement during rounds in the NICU?

Accepted Answer

Family-integrated care (FICare) with parents participating in daily bedside rounds

Answer

Conducting rounds outside the room to maintain privacy

Answer

Weekly family meetings separate from daily rounds

Answer

Limiting family rounds participation to attending physicians only

Question 5

A nurse reports that a colleague failed to wash hands before touching a NICU patient. What ethical principle requires the reporting nurse to speak up?

Accepted Answer

Beneficence and non-maleficence

Answer

Autonomy

Answer

Justice

Answer

Fidelity

Question 6

What is the primary goal of the 'Neonatal Integrative Developmental Care' model in the NICU?

Accepted Answer

Supporting the infant's neurodevelopment and family well-being through integrating developmental principles into clinical care

Answer

Maximizing medical interventions to ensure survival

Answer

Reducing nursing workload through standardized care protocols

Answer

Eliminating all sensory stimulation during the acute phase