Which intervention would the nurse include when providing atraumatic care?
Help the child accept the loss of control associated with hospitalization.
Help the child accept pain that is connected with a treatment or procedure.
Prepare the child before any unfamiliar treatment or procedure.
Prepare the child for separation from parents during hospitalization by reviewing a video.
The Correct Answer is C
A. Rather than helping the child accept a loss of control, atraumatic care focuses on empowering the child and promoting a sense of control through participation in care and decision-making.
B. While pain management is crucial, the goal is not to have the child "accept" pain but to minimize it through interventions like distraction, pharmacologic pain relief, and comfort measures.
C. Preparing the child for unfamiliar treatments or procedures aligns with the principles of atraumatic care, which aim to reduce fear, anxiety, and physical and emotional distress. By offering developmentally appropriate explanations, the nurse helps the child feel more in control and reduces the traumatic impact of the experience.
D. Atraumatic care emphasizes maintaining parental involvement during hospitalization whenever possible. Preparing the child for separation does not align with atraumatic care principles, as separation is a source of stress that should be minimized.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"},"G":{"answers":"B"}}
Explanation
|
Assessment Finding |
Improved |
No change |
|
Dyspnea |
✅ |
|
|
Heart rate |
✅ |
|
|
Blood pressure |
✅ |
|
|
Oxygen saturation |
✅ |
|
|
Respiratory rate |
✅ |
|
|
Oral intake |
✅ |
|
|
Lung sounds |
✅ |
Rationale:
Improved:
Heart rate and blood pressure are slightly improved by 1930, likely due to the medications (furosemide, enalapril) helping manage fluid retention and blood pressure.
Oral intake has improved, but monitoring of this is critical given the recent lack of eating for several days.
No change:
Dyspnea remains unchanged, since the adolescent is still dyspneic with activity.
Lung sounds remain unchanged, indicating that there may still be some wheezing or fluid buildup in the lungs.
Correct Answer is B
Explanation
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
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