A nurse is using play and distraction techniques for a child who is receiving an intravenous injection. Which of the following statements by the nurse is most appropriate to use as a distraction technique?
"This will only hurt for a second, and then it will be over."
"Do you want to watch a video of your favorite cartoon on my tablet?"
"Can you tell me the names of all the animals on this poster?"
"Why are you so scared? It's not a big deal."
The Correct Answer is C
Choice A reason: This is incorrect. Telling the child that the injection will hurt can increase their fear and anticipation of pain, and may also damage the trust between the nurse and the child.
Choice B reason: This is incorrect. Offering the child to watch a video on a tablet may not be effective as a distraction technique, as the child may still be aware of the procedure and may not be able to focus on the video.
Choice C reason: This is correct. Asking the child to name the animals on a poster is an example of a distraction technique that can divert the child's attention from the procedure and reduce their anxiety and pain.
Choice D reason: This is incorrect. Criticizing or minimizing the child's feelings can make them feel ashamed or guilty, and may also worsen their emotional distress.
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Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A reason: Providing written instructions and verbal explanations to the parents is an important action to ensure understanding and compliance with the discharge plan.
Choice B reason: Teaching the child how to change the dressing and monitor for signs of infection is not appropriate for a 4-year-old child, who may not have the cognitive or motor skills to perform these tasks. The parents should be taught how to do these instead.
Choice C reason: Encouraging the parents to let the child resume normal activities as tolerated is an important action to promote recovery and prevent complications such as constipation or adhesions.
Choice D reason: Giving the child a stuffed animal or a toy as a reward for being brave is an important action to provide positive reinforcement and reduce anxiety or fear associated with hospitalization or surgery.
Choice E reason: Referring the child to a support group or a counselor if needed is not a necessary action for a 4-year-old child who had surgery for appendicitis, unless there are signs of emotional distress or trauma that require professional intervention.
Correct Answer is C
Explanation
Choice A reason: This is incorrect. Saying that they don't want to be touched or asking the nurse to go away is an indication that the child is feeling anxious and defensive, and not distracted from the procedure.
Choice B reason: This is incorrect. Expressing fear or pleading with the nurse not to hurt them is an indication that the child is feeling anxious and fearful, and not distracted from the procedure.
Choice C reason: This is correct. Showing interest and pride in making a bracelet with beads is an indication that the child is engaged in
the play activity and distracted from the procedure.
Choice D reason: This is incorrect. Asking the nurse to hurry up and finish is an indication that the child is feeling impatient and uncomfortable, and not distracted from the procedure.
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