ch 30 atraumatic care Flashcards
the nurse is providing atraumatic care to children in a hospital setting. what are principles to this philosophy of care? select all that apply.
-avoid or reduce painful procedures
-avoid or reduce physical distress
-use core primary nursing
the nurse is consulting with a child life specialist to help minimize the stress of hospitalization for a child. which service would the CLS provide? select all that apply.
-activities to support normal growth and development
-grief and bereavement support
-emergency room interventions for children and families
the nurse is implementing interventions to prevent physical stressors for a 9 year old receiving chemotherapy in the hospital. how will the nurse provide atraumatic care for this child?
insert a saline lock if the child will require multiple doses of parenteral medications
the nurse contacts a child life specialist to work with children on a pediatric ward. what is the primary goal of the CLS
decrease anxiety and fear during hospitalization and painful procedure
the nurse is preparing a child and his family for a lumbar puncture. which would be a primary intervention instituted to keep the child safe?
therapeutic hugging
the child life specialist is preparing a 6 year old child for a mri. which statement reflects the use of atraumatic principles when explaining the procedure?
you may hear some loud noises when you are lying in the machine, but they wont hurt you
the nurse is using family centered care to provide care for children in a pediatric office. upon what concept is family centered care based?
the family is the constant in the child’s life and the primary source of strength
the nurse knows that effective communication with children and their parents is critical to providing atraumatic quality nursing care. which statement accurately describes the communication pattern of children?
children rely more on nonverbal communication and silence
the nurse is teaching the student nurse how to communicate effectively with children. which method would the nurse recommend?
direct questions and explanations to the child
the nurse is implementing care for a hospitalized toddler. what communication technique would the nurse use with the child to reflect the child’s developmental level?
allow the child extra time to complete thoughts
the nurse is caring for a 4 year old boy with Ewing sarcoma who is scheduled for a CAT scan. which is the best example of therapeutic communication?
describing what it is like to get a CAT scan using words he understands
the nurse is caring for a 14 year old boy with an osteosarcoma. which communication technique would be least effective for him?
letting him choose soda or juice to take pills
the nurse is educating a 16 year old girl who has just been diagnosed with acute myelogenous leukemia. which statement best demonstrates therapeutic communication?
assessing the adolescent’s emotional status in private
the nurse is performing a cultural assessment of an asian family that has a child hospitalized or leukemia. what is the best technique for providing culturally competent care for this family?
just ask the family about their culture and listen
the nurse is educating the parents of a 7 year old girl who has just been diagnosed with epilepsy. which teaching technique would be the most appropriate?
giving the parents information in small amounts at a time
the nurse is enlisting the parent’s assistance for therapeutic hugging prior to an otoscopic examination. what should the nurse emphasize to the parents?
you will keep his hands down and his head still
the nurse is preparing to perform a dressing change on a 13 year old client who is being treated for burns he received 2 weeks ago. the client prefers not to take pain medication before dressing because it causes drowsiness. what nursing interventions would provide atraumatic care? select all that apply.
-the nurse asks the client if he would like the television on during the dressing change
-the nurse encourages the client to wear headphones to listen to music during the dressing change
the nurse is admitting a 7 year old child to the medical surgical unit. the child answers questions with very short answers, makes little eye contact with the nurse, and looks to the parent to answer most questions. which interventions would be appropriate during this admission assessment? select all that apply.
-when asking questions, look at the child as well as the parent
-sit at the child’s eye level during the admission questioning process
the nurse is caring for a child who is scheduled to begin chemotherapy. when planning education for the parents, what action by the nurse is most correct?
obtain a small conference room and arrange the chairs in a circle for both the nurse and the family members to sit
the nurse is caring for a teen who will be hospitalized for physical rehabilitation for an extended period of time after an auto accident. when working to promote a good working relationship with the teen, what action by the nurse will be most beneficial?
keep your word with regard to promises and statements made to the teen
a nurse is preparing to start an iv line in a child with severe pneumonia. the nervous child asks the nurse to wait until later to do the procedure. how would the nurse proceed?
explain to the child why the iv is needed and find creative games to utilize while inserting the iv
a nurse is providing care for a child hospitalized with a diagnosis of aplastic anemia. in planning the child’s care, which interventions will assist the child in adapting to being hospitalized? select all that apply.
-provide opportunities for the parents to participate in the child’s care
-encourage the parents to bring personal items to make the child feel more at home
-make the child’s room off limits to invasive procedures
a nurse is assisting the health care provider with suturing a laceration on a preschoolers leg. what distraction methods can the nurse perform to promote atraumatic care? select all that apply.
-ask the child to squeeze the nurse’s hand
-sing a song and have the child sing along
-have the child blow bubbles
a 10 year old child with sick cell anemia is frequently in the pediatric center of a hospital. what intervention can the nurse provide that will allow the child the sense of control that meets the goals promotes atraumatic care?
maintain the child’s home routine related to activities of daily living
