TNCC Trauma Nursing Core Course 7th Edition ENA Exam Question With 100% All Correct Answers

TNCC Trauma Nursing Core Course 7th Edition ENA Exam Question With 100% All Correct Answers Components of SBAR and its purpose - ANSWER S: Situation B: Background A: Assessment R: Recommendation Purpose- to provide framework for communication amount members of the healthcare team p. 7 Components of DESC and its purpose - ANSWER D: Describe the specific situation or behavior E: Express your concerns or how the situation makes you feel S: Suggest alternatives and seek agreement C: State consequences in terms of impact on performance goals Purpose- used in conflict management; paraphrasing the other person's comments is an important technique that should be done throughout the DESC script. Following discussion of consequences, team members should work towards consensus. p. 7 Components of CUS and its purpose - ANSWER C: I am Concerned U: I am Uncomfortable S: This is a Safety issue/ I am Stressed Purpose- used to "stop the line" if a team member senses or discovers an essential safety breach p. 7 Define trauma - ANSWER - Trauma is injury to living tissue caused by extrinsic agent - Regardless of MOI, trauma creates stressors that exceed the tissue's or organ's ability to compensate p. 9 Leading cause of death for ages 1. over 65 2. 5 to 24 3. 25 to 64 - ANSWER 1. Falls 2. MVCs 3. poisoning p. 9 Explain 3 phases of injury prevention - ANSWER Primary: prevention of the occurrence of the injury Secondary: Reduction in the severity of the injury that has occurred Tertiary: Improvement of outcomes related to the traumatic injury p. 10 Describe the three E's of injury control - ANSWER Engineering: technological interventions such as side impact airbags, automated blind spot alarms, ignition lock devices for those with DUIs. In playgrounds and sports, this involves surface material under playground equipment and athletic safety gear. Another intervention is improved use of smoke alarms in fire prevention Enforcement and legislation: include laws at all jurisdictional levels regarding driving while intoxicated, booster seats, primary seatbelt use, and distracted driving. For sports this includes rules regarding illegal hits, examination after impact, and return-to-play requirements after a head injury Education: these can be community-based initiatives such as public service announcements for improved seatbelt use, education regarding risks of distracted driving, programs to commit to no texting while driving, and promotions for bicycle helmet giveaways with instructions for proper use p. 11 How can the trauma nurse have an impact when it comes to the legislative process? - ANSWER By advocating for stronger laws and more consistent enforcement p. 11 Define kinematics - ANSWER The study of energy transfer as it applies to identifying actual or intentional injuries p. 25 Define biomechanics - ANSWER The general study of forces and their effects p. 25 Define mechanism of injury (MOI) - ANSWER How external energy forces in the environment are transferred to the body p. 25 Newton's First Law of Motion - ANSWER A body at rest will remain at rest, and a body in motion will stay in motion p. 26 Newton's Second Law of Motion - ANSWER Force = Mass X Acceleration