RNC-NIC Family Integration & Ethical Care 4

Question 1

A neonatal nurse is preparing a family for discharge of their premature infant. The MOST important teaching priority is:

Accepted Answer

Assessing the family's understanding and readiness, then teaching based on identified gaps

Answer

Assessing readiness and tailoring teaching to identified knowledge gaps ensures that discharge education is effective and individualized.

Question 2

Which scenario BEST illustrates the ethical concept of 'nonmaleficence' in neonatal care?

Accepted Answer

Advocating for a dying infant to receive only comfort measures rather than painful interventions with no benefit

Answer

Nonmaleficence means avoiding harm; limiting painful, futile interventions for a dying infant directly applies this principle.

Question 3

A teenage mother appears disengaged and rarely visits her infant in the NICU. The nurse's BEST initial intervention is:

Accepted Answer

Explore barriers to visitation through a non-judgmental conversation

Answer

Non-judgmental exploration of barriers identifies practical, emotional, or systemic obstacles that can then be addressed to support the mother-infant relationship.

Question 4

A family requests that resuscitative efforts be stopped for their extremely premature infant after 15 minutes with no response. The physician continues. The nurse's BEST action is:

Accepted Answer

Privately ask the physician to honor the family's request and involve the ethics team if needed

Answer

Privately raising family wishes with the physician and escalating to the ethics team if necessary is the appropriate, professional advocacy approach.

Question 5

Which behavior by the NICU nurse MOST directly supports a mother experiencing postpartum depression?

Accepted Answer

Screening for depression using a validated tool and initiating a referral for mental health support

Answer

Using a validated screening tool and making appropriate referrals is evidence-based practice for identifying and addressing postpartum depression.

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

(RNC-NIC) Registered Nurse Certified in Neonatal Intensive Care Practice Test

RNC-NIC Family Integration & Ethical Care 4