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.
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Related Questions
Correct Answer is A
Explanation
A. Clinicians should be involved in discussions about the child’s prognosis to ensure that the family receives clear, compassionate information for decision-making.
B. Palliative care can and should be introduced earlier in the course of the illness, not just when the child is expected to live less than 6 months.
C. Parents expressing hope for survival do not necessarily reject palliative care. Palliative care can focus on comfort and quality of life even when there is still hope for recovery.
D. Palliative care should be integrated with curative care, as it can improve the quality of life while still pursuing treatment options.
Correct Answer is A
Explanation
A. "I am going to listen to your heart" is the most appropriate way to introduce the process of taking vital signs, as it is non-threatening and familiar to the child.
B. "Can you stand still while I feel how warm you are?" may be confusing to a toddler, as they might not understand what "feeling warm" means.
C. "Can I listen to your lungs?" might sound unfamiliar or intimidating to a toddler.
D. "Can I take your blood pressure now?" is a more advanced procedure that may cause anxiety and should be introduced after explaining the other vital signs.
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