BTSC 3 August 2025
Child Health Nursing (Pediatrics)
Easy
Which of the following is a primary principle of atraumatic care in paediatric nursing?
Appeared in: BTSC 3 August 2025
Explanation
- The core philosophy of atraumatic care is to 'do no harm' by actively working to prevent or minimize psychological and physical distress for children and their families.
- This principle encompasses managing pain, reducing fear and anxiety, and preventing separation from family.
- All nursing interventions in atraumatic care are aimed at reducing the negative impact of illness and hospitalization.
- It involves a collaborative effort between the healthcare team, the child, and the family to create the least stressful experience possible.
Why Other Options Were Wrong
- Option A: This is the opposite of atraumatic care. Play therapy is a key intervention used to help children cope with anxiety, express feelings, and normalize the hospital environment.
- Option B: The principle is to minimize the use of restraints, employing them only as a last resort for safety when less restrictive measures fail. Using them 'whenever necessary' implies frequent use, which is traumatic.
- Option D: This contradicts the core tenets of both atraumatic and family-centered care. Acknowledging and supporting the child's emotional state and integrating the family are essential for positive outcomes.
Related Visual
Clinical Relevance
- Nursing practice connection: Prioritize focused assessment, early escalation, and real-time monitoring when managing Primary principles of atraumatic care in pediatric nursing in acute care settings.
- Nurses apply atraumatic care daily by using topical anesthetics (like EMLA cream) before needle sticks, allowing parents to be present during procedures, and using therapeutic 'hugging' for holds instead of forceful restraint.
- This approach improves patient cooperation, reduces the need for sedation, and can lead to better long-term psychological outcomes and trust in the healthcare system.
- What if? If a child requires an emergency procedure with no time for preparation, the nurse still applies atraumatic principles by using a calm voice, providing comfort, explaining steps simply and quickly, and involving the parent immediately to soothe the child afterward.
How to Approach the Question
- First, identify the key term in the question: 'atraumatic care'.
- Recall the definition of this term. 'A-' means 'without' and 'traumatic' means 'trauma'. The goal is to provide care without causing trauma.
- Evaluate each option based on this definition.
- Option A (avoiding play) would increase stress, so it's incorrect.
- Option B (using restraints) is a source of physical and psychological trauma, so it's incorrect.
- Option D (ignoring emotions/family) is a direct cause of psychological trauma, so it's incorrect.
Concept Tested & Keywords
- Concept Tested: Primary principles of atraumatic care in pediatric nursing.
- Stem keywords: atraumatic care, paediatric nursing, primary principle
- Lead-in keywords: Which of the following is
- Negative lead-in flag: false
Question ID
QE8VIOyn4ITS0onNoNJH7G
Reference Book
E6 Robert Boland, Marcia L. Verduin - Kaplan and Sadock's Comprehensive Text of Psychiatry-Wolters Kluwer Health (2024) (pp 1-16525 of 16525) pp. 13012-13014, 7641-7643
E6 Text Book Of Pediatric Nursing 3rd Panchali Pal — Part 1 (pp 36-238 of 713) p. 68-70
Practise the full BTSC 3 August 2025
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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