A nurse is teaching a newly licensed nurse about the benefits of atraumatic care.
Which of the following statements by the newly licensed nurse indicates that the teaching was effective?

Atraumatic care reduces client and caregiver stress, fear, and anxiety.

Atraumatic care removes control from the client and caregivers, thereby reducing stress.

Atraumatic care reduces anxiety while enabling faster healing.

Atraumatic care minimizes the time nurses need to spend with the client and caregivers.

Answer and Explanation

Correct Answer : A,C

Choice A rationale

Atraumatic care focuses on minimizing physical and psychological distress for both the client and their caregivers. By employing strategies such as therapeutic play, age-appropriate explanations, and parental involvement, it reduces fear, anxiety, and stress responses, which can negatively impact physiological outcomes and coping mechanisms. This approach promotes a sense of security and control.

Choice B rationale

Atraumatic care aims to *enhance* client and caregiver control, not remove it. Empowering clients and families by providing information, involving them in decision-making, and respecting their preferences is a core principle. This approach fosters a sense of partnership and autonomy, which inherently reduces feelings of helplessness and stress, improving overall well-being.

Choice C rationale

By minimizing emotional and physical distress, atraumatic care helps to reduce the physiological stress response, including the release of cortisol and catecholamines. This reduction in stress mediators can improve immune function and reduce inflammation, thereby promoting a more conducive environment for healing and recovery, leading to potentially faster resolution of illness or injury.

Choice D rationale

Atraumatic care often requires *more* time initially from nurses to establish rapport, provide thorough explanations, engage in therapeutic play, and involve families in care. While it can lead to improved long-term outcomes and potentially fewer complications, its immediate implementation involves an investment of time to ensure comfort and understanding, not a reduction.

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Correct Answer is D

Explanation

Choice A rationale

Teaching the patient to use an incentive spirometer requires nursing assessment of technique, understanding of respiratory physiology, and evaluation of patient learning. These are complex tasks that fall within the scope of professional nursing practice and cannot be delegated to unlicensed assistive personnel (UAP).

Choice B rationale

Instructing the patient to cough effectively involves assessing the patient's ability to cough, understanding their respiratory status, and providing individualized guidance based on their condition. This requires clinical judgment and specialized knowledge, making it a professional nursing responsibility rather than a delegated UAP task.

Choice C rationale

Auscultating breath sounds is a skilled assessment technique that requires advanced knowledge of respiratory anatomy, physiology, and pathology to accurately identify normal and adventitious sounds. This is a critical component of nursing assessment and cannot be delegated to unlicensed assistive personnel (UAP).

Choice D rationale

Assisting the patient to sit up on the side of the bed is a task related to patient mobility and positioning, which falls within the scope of practice for unlicensed assistive personnel (UAP). The UAP can provide physical assistance, ensure patient safety during movement, and follow clear instructions regarding positioning.

A. You should allow your child to play any sport they want to play. B. You should allow your child to participate in age-appropriate activities, such as riding a bike using proper protective gear. C. You should not allow your child to play any sport due to the risk of injury. D. You should not allow your child to ride a bike or go skateboarding with their classmates.

Correct Answer is B

Explanation

Choice A rationale

Allowing a child with hemophilia to participate in any sport without restriction significantly increases the risk of severe bleeding episodes, especially in contact sports. Hemophilia involves a deficiency in clotting factors, making even minor trauma potentially life-threatening due to uncontrolled hemorrhage, which can lead to joint damage, organ damage, or intracranial bleeding, severely impacting their long-term health and mobility.

Choice B rationale

Encouraging participation in age-appropriate, low-impact activities like cycling with proper protective gear promotes physical activity and psychosocial development. This approach minimizes the risk of traumatic injuries that could trigger bleeding while still fostering a sense of normalcy and social integration. Regular physical activity also helps maintain muscle strength and joint integrity, which can be beneficial in managing hemophilia.

Choice C rationale

Completely restricting a child with hemophilia from all sports or physical activity can negatively impact their physical and psychological well-being. While safety is paramount, total avoidance can lead to muscle atrophy, obesity, and social isolation. A balanced approach that allows for modified, safe activities is crucial for holistic development, promoting self-esteem and peer interaction.

Choice D rationale

Discouraging activities like bike riding or skateboarding even with classmates, implies excessive restriction. While high-risk activities should be avoided, moderate-risk activities can be managed with appropriate precautions, such as helmets and padding. This extreme limitation can hinder the child's physical development, social integration, and mental health, leading to feelings of difference and isolation from peers.

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A nurse is teaching a newly licensed nurse about the benefits of atraumatic care. Which of the following statements by the newly licensed nurse indicates that the teaching was effective?

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A nurse is teaching a newly licensed nurse about the benefits of atraumatic care.
Which of the following statements by the newly licensed nurse indicates that the teaching was effective?