Family Integration & Ethical Care Flashcards
7 cards from real RNC-NIC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Family Integration & Ethical Care flashcards as text
A father of a 28-week premature infant refuses to hold his baby, stating he is afraid of hurting him. What is the nurse's best response?
Answer: Acknowledge his fear and offer to guide him through supported holding with staff present
Acknowledging fears and offering guided support respects paternal autonomy while facilitating bonding.
Which ethical principle is MOST directly applied when allowing parents to be present during resuscitation of their neonate?
Answer: Autonomy
Allowing parents to witness resuscitation respects their autonomous right to be present during a critical event involving their child.
A family from a culture that relies on a traditional healer declines antibiotic therapy for their neonate's confirmed sepsis. The nurse's priority action is to:
Answer: Engage the ethics committee and explore culturally sensitive compromise
Ethics committee involvement and cultural negotiation protect the infant while respecting family values and promoting collaborative decision-making.
The NICU nurse is implementing Family-Centered Care (FCC). Which action BEST exemplifies this model?
Answer: Inviting parents to participate in daily care rounds and goal-setting
Including parents in rounds and goal-setting is a hallmark of FCC, recognizing them as integral members of the care team.
Parents of a 23-week gestation infant request full resuscitation despite the medical team's recommendation for comfort care. The most appropriate next step is:
Answer: Hold a family meeting with the attending physician and ethics consultant
A family meeting with ethics support facilitates shared decision-making and ensures all perspectives are considered at the limits of viability.
Which statement BEST describes the concept of 'veracity' in neonatal ethical care?
Answer: Telling families the truth about their infant's condition even when it is difficult
Veracity is the ethical obligation to be truthful with patients and families, even when delivering difficult news.
A nurse notices a colleague disclosing a NICU patient's prognosis to the grandparents without parental consent. The nurse should:
Answer: Report the breach of confidentiality to the charge nurse and document it
Reporting a HIPAA breach to the charge nurse and documenting it follows proper protocol to protect patient and family privacy rights.