Clinical Nurse Leader (CNL) Certification with correct answers

6 year boy named Braden is pt in microsystem. He is terified of shots he has to get BID for next 3 weeks. It is most therapeutic med route for his illness & becomes hysterical every time the med is due & must be held down by two people while RN gives injection. They will not have 3 people at home to do this. Working on discharge planning, what should you do? A) Plan on Braden being in hospital for next 3 weeks to receive his injections B) Obtain restraints for the parents to use at home in order to give the injection C) Talk with MD to prescribe a pill instead D) Work with child specialist & sit down with Braden to find out what scares him about the injections CORRECT ANSWER D) Work with child specialist & sit down with Braden to determine what scares him about injections Rationale: Working with interdisciplinary team to provide patient best treatment is ideal. Encouraging the child to become involved in his care & letting him help enables him to cooperate & feel more secure. A 5Ps assessment was completed by each NCL in the hospital. As A CNL you know this is an assessment of: A) Microsystem B) Mesosystem C) Macrosystem D) Health care system CORRECT ANSWER A) Microsystem