TNCC Psychosocial Aspects of Trauma 3

Question 1

A trauma patient from a different cultural background refuses blood transfusion despite life-threatening hemorrhage. The nurse's most appropriate response is:

Accepted Answer

Respect the patient's informed refusal while documenting the decision and exploring alternatives

Answer

Administer the transfusion without consent since it is a life-threatening emergency

Answer

Ignore the refusal and proceed as it is clearly an irrational decision

Answer

Discharge the patient for non-compliance

Question 2

Which factor most strongly predicts the development of PTSD after a traumatic injury?

Accepted Answer

Pre-existing mental health conditions and peritraumatic dissociation

Answer

Severity of physical injury alone

Answer

Age over 65 years

Answer

Male gender

Question 3

A trauma patient becomes increasingly agitated, is pulling at IV lines, and is attempting to leave the emergency department against medical advice. The nurse should first:

Accepted Answer

Use verbal de-escalation techniques to establish rapport and identify the cause of agitation

Answer

Apply physical restraints immediately

Answer

Sedate the patient with IV medications

Answer

Call security to physically restrain the patient

Question 4

The nurse suspects elder abuse in a 78-year-old trauma patient who presents with multiple bruises in various stages of healing and appears fearful. The nurse is LEGALLY required to:

Accepted Answer

Report the suspected abuse to adult protective services as mandated by law

Answer

Discuss concerns with the patient's family members first

Answer

Wait for definitive proof of abuse before taking action

Answer

Document the findings but take no further action

Question 5

Which intervention best promotes psychological resilience in a trauma patient during the acute hospitalization?

Accepted Answer

Giving the patient as much control and choice as possible within their care

Answer

Restricting all visitors to minimize stimulation

Answer

Avoiding discussion of the traumatic event entirely

Answer

Administering sedation to prevent emotional distress

Question 6

A trauma nurse notices a colleague making errors, appearing emotionally withdrawn, and increasing alcohol consumption after a series of pediatric trauma cases. This pattern is most consistent with:

Accepted Answer

Secondary traumatic stress requiring professional intervention

Answer

Normal adaptation to a demanding profession

Answer

Adequate coping with stressful situations

Answer

Malingering to avoid work assignments