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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","F"]
Explanation
Choice A rationale
Post-kidney transplant, immunosuppressive medications are crucial to prevent rejection, which also compromises the immune system. Engaging in contact sports significantly increases the risk of direct trauma to the transplanted kidney, potentially causing injury or rupture, which could necessitate re-transplantation or lead to graft loss.
Choice E rationale
Grapefruit contains furanocoumarins, compounds that inhibit the cytochrome P450 3A4 (CYP3A4) enzyme system in the liver and intestines. Many immunosuppressants, like calcineurin inhibitors (e.g., cyclosporine, tacrolimus), are metabolized by CYP3A4. Inhibition of this enzyme can lead to increased drug concentrations and elevated risk of toxicity.
Choice F rationale
Fluid restriction post-kidney transplant may be necessary, particularly in the immediate postoperative period or if the patient experiences fluid overload or delayed graft function. Excessive fluid intake could contribute to hypertension or pulmonary edema, complicating recovery and potentially stressing the newly transplanted kidney.
Correct Answer is ["A","C"]
Explanation
Choice A rationale
Detergent pods are highly concentrated and can cause severe chemical burns to the esophagus and respiratory tract if ingested. Their bright colors and soft, squeezable nature can attract young children, making them a significant aspiration and poisoning risk due to their caustic properties. Normal esophageal tissue is delicate and easily damaged by corrosives.
Choice B rationale
Television remote controls, while a common household item, are typically too large and irregularly shaped to be easily aspirated into a toddler's airway. The primary concern with remote controls is choking on small, removable parts like batteries, not aspiration of the entire object into the trachea. Normal airway diameter in toddlers is small.
Choice C rationale
A tennis ball, due to its size and spherical shape, can perfectly occlude a toddler's airway, leading to complete obstruction and potential asphyxiation. Its smooth surface makes it difficult to dislodge once aspirated, posing a significant and immediate life-threatening choking hazard for young children. Normal tracheal lumen can be fully occluded by objects of similar diameter.
Choice D rationale
Hairbrushes are generally too large and awkwardly shaped to be aspirated by a toddler. While bristles or small decorative elements could potentially break off and be ingested, the primary concern with a hairbrush itself is not airway obstruction through aspiration of the entire object. Normal pharyngeal reflexes would typically prevent aspiration of such large objects. .
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