Chapter 10: Concepts of Emergency and Trauma Nursing

Chapter 10: Concepts of Emergency and Trauma Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. While assessing a client in the emergency department, the nurse identifies that the client has been raped. Which health care team member should the nurse collaborate with when planning this client’s care?

a.	Emergency medicine physician
b.	Case manager
c.	Forensic nurse examiner
d.	Psychiatric crisis nurse

 

 

ANS:  C

All other members of the health care team listed may be used in the management of this client’s care. However, the forensic nurse examiner is educated to obtain client histories and collect evidence dealing with the assault, and can offer the counseling and follow-up needed when dealing with the victim of an assault.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 122

TOP:   Client Needs Category: Safe and Effective Care Environment (Management of Care—Collaboration with Interdisciplinary Team)

MSC:  Integrated Process: Nursing Process (Planning)

 

2. On admission to the emergency department, a client states that he feels like killing himself. When planning this client’s care, it is most important for the nurse to coordinate with which member of the health care team?

a.	Case manager
b.	Forensic nurse examiner
c.	Physician
d.	Psychiatric crisis nurse

 

 

ANS:  D

The psychiatric crisis nurse interacts with clients and families in crisis. This health care team member can offer valuable expertise to the emergency health care team, which also includes the case manager and the physician.

 

DIF:    Cognitive Level: Comprehension/Understanding               REF:   p. 122

TOP:   Client Needs Category: Safe and Effective Care Environment (Management of Care—Collaboration with Interdisciplinary Team)

MSC:  Integrated Process: Nursing Process (Planning)

 

3. The emergency department team is performing cardiopulmonary resuscitation on a client when the client’s spouse arrives at the emergency department. What should the nurse do next?

a.	Request that the client’s spouse sit in the waiting room.
b.	Ask the spouse if he wishes to be present during the resuscitation.
c.	Suggest that the spouse begin to pray for the client.
d.	Refer the client’s spouse to the hospital’s crisis team.

 

 

ANS:  B

If resuscitation efforts are still under way when the family arrives, one or two family members may be given the opportunity to be present during lifesaving procedures. The other options do not give the spouse the opportunity to be present for the client or to begin to have closure.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Psychosocial Integrity (Crisis Intervention)

MSC:  Integrated Process: Caring

 

4. The emergency department nurse is assigned an older adult client who is confused and agitated. Which intervention should the nurse include in the client’s plan of care?

a.	Administer a sedative medication.
b.	Ask a family member to stay with the client.
c.	Use restraints to prevent the client from falling.
d.	Place the client in a wheelchair at the nurses’ station.

 

 

ANS:  B

Older adults who are confused are at increased risks for falls. Fall prevention includes measures such as siderails up, reorientation, call light in reach, and, in some cases, asking the family member, significant other, or sitter to stay with the client to prevent falls.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Safe and Effective Care Environment (Safety and Infection Control—Accident/Injury Prevention)               MSC:  Integrated Process: Nursing Process (Planning)

 

5. An emergency department nurse is transferring a client to the medical-surgical unit. What is the most important nursing intervention in this situation?

a.	Triage the client to determine the urgency of care.
b.	Clearly communicate client data to the unit nurse.
c.	Evaluate the need for ongoing medical treatment.
d.	Perform a thorough assessment of the client.

 

 

ANS:  B

The emergency nurse needs to be able to triage, assess, and evaluate. However, these steps have already been carried out in the early phases of the emergency department (ED) admission. When a client is ready to be transferred from the ED, communication with staff nurses from the inpatient units is essential. This report should be a concise but comprehensive report of the client’s ED experience.

 

DIF:    Cognitive Level: Application/Applying or higher               REF:   N/A

TOP:   Client Needs Category: Safe and Effective Care Environment (Management of Care—Continuity of Care)

MSC:   Integrated Process: Communication and Documentation