TCRN Psychosocial Aspects of Trauma Care 2

Question 1

In trauma care, the nurse suspects intimate partner violence (IPV). Which approach is most appropriate?

Accepted Answer

Screen the patient privately using a validated tool, and provide resources regardless of disclosure

Answer

Interview the patient and partner together to observe their interaction

Answer

Document suspicion in the chart but take no further action unless the patient volunteers information

Answer

Report immediately to law enforcement without consulting the patient

Question 2

A patient is brought in after a suicide attempt by drug overdose. After medical stabilization, which nursing action is the priority?

Accepted Answer

Ensure one-to-one observation, remove harmful objects from the environment, and initiate a psychiatric consultation

Answer

Discharge the patient with outpatient therapy referral immediately

Answer

Administer antidepressants and reassess in 24 hours

Answer

Allow the family to take the patient home if they agree to supervise

Question 3

Which factor is the strongest risk indicator for completed suicide in a trauma patient?

Accepted Answer

A previous suicide attempt

Answer

Mild depression without prior history

Answer

Social isolation without prior attempt

Answer

Chronic low back pain

Question 4

A trauma patient refuses a blood transfusion for religious reasons. The nurse's most appropriate action is:

Accepted Answer

Document the refusal, notify the physician and ethics team, ensure the patient has decision-making capacity, and explore alternative treatments

Answer

Administer the transfusion anyway because it is a life-saving measure

Answer

Accept the refusal without further assessment or documentation

Answer

Sedate the patient and proceed with transfusion

Question 5

In pediatric trauma, which behavioral finding should alert the trauma nurse to possible child abuse?

Accepted Answer

Injuries inconsistent with the developmental stage or the history provided by caregivers

Answer

Bruising over the shins in a child who just learned to walk

Answer

Fearfulness during physical exam only

Answer

Single fracture of the clavicle from a fall

Question 6

Which professional resource is most appropriate for a trauma nurse experiencing signs of secondary traumatic stress?

Accepted Answer

Access the hospital's employee assistance program (EAP) and seek peer support or professional counseling

Answer

Continue working additional shifts to build resilience through exposure

Answer

Self-medicate with over-the-counter sleep aids until symptoms resolve

Answer

Request transfer to a non-trauma unit without discussing symptoms with anyone