The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.

Avoid or reduce painful procedures.

Avoid or reduce physical distress.

Minimize parent-child interactions.

Provide child-centered care.

Minimize child control.

Use core primary nursing.

Answer and Explanation

Correct Answer : A,B,D,F

A. Avoid or reduce painful procedures: Atraumatic care focuses on minimizing or eliminating pain whenever possible through comfort measures, distraction techniques, and appropriate pain management. This helps decrease fear and anxiety in children during medical procedures.

B. Avoid or reduce physical distress: Preventing physical stress such as discomfort, fatigue, or temperature extremes supports the child’s sense of safety and comfort. This approach helps reduce physiological and emotional trauma during hospitalization.

C. Minimize parent-child interactions: This is contrary to atraumatic care principles. Parental presence provides comfort and emotional security for the child. Family-centered involvement enhances coping and promotes healing.

D. Provide child-centered care: Atraumatic care emphasizes care that respects the child’s developmental level, preferences, and emotional needs. This individualized approach promotes trust, reduces anxiety, and fosters cooperation.

E. Minimize child control: Atraumatic care encourages giving the child as much control as appropriate, such as allowing choices when possible. Limiting control increases fear and feelings of helplessness.

F. Use core primary nursing: Consistent caregivers foster a sense of security and continuity, reducing stress and promoting therapeutic relationships. This supports the child’s emotional well-being and stability during hospitalization.

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Correct Answer is A

Explanation

A. "Placing your child on her back when sleeping will decrease the risk of SIDS.": Supine (back) sleeping significantly reduces the risk of SIDS by maintaining an open airway and preventing rebreathing of carbon dioxide. This recommendation is part of the “Back to Sleep” campaign, which has led to a major decline in SIDS cases.

B. "SIDS is directly correlated with the diphtheria, tetanus, and pertussis vaccines.": There is no scientific evidence linking SIDS with routine childhood immunizations. Vaccinations may offer protective benefits by reducing infections that could contribute to SIDS risk factors.

C. "Sleep apnea is the main cause of SIDS.": Although apnea may occur in some SIDS cases, it is not identified as the main cause. SIDS is a multifactorial syndrome, often associated with unsafe sleep environments and immature cardiorespiratory regulation in infants.

D. "SIDS rates have been rising over the last 10 years.": SIDS rates have actually decreased due to public health efforts promoting safe sleep practices, such as placing infants on their backs and avoiding soft bedding or co-sleeping.

A. The child B. The parents C. Chief complaint D. Developmental age

Correct Answer is A

Explanation

A. The child: The physical examination should focus primarily on the child, using a holistic approach that considers both physical and emotional needs. The nurse observes the child’s overall appearance, behavior, and physiological responses, ensuring that the assessment is child-centered and developmentally appropriate.

B. The parents: While parents provide valuable health history and emotional support, they are not the focus of the physical exam. Their role is mainly to comfort the child and supply additional background information during the assessment.

C. Chief complaint: Although addressing the chief complaint is important, the physical exam should not be limited to it. A comprehensive examination ensures that all body systems are assessed, identifying potential issues beyond the presenting concern.

D. Developmental age: Developmental age helps guide the approach to the examination, such as communication style and expected milestones, but it is not the main focus. It informs how the nurse interacts with and evaluates the child rather than being the object of the exam itself.

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The nurse is providing atraumatic care to children in a hospital setting. What are principles of this philosophy of care? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is A

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