The nurse is preparing a nursing care plan for a child hospitalized for cardiac surgery. Which are examples of interventions that nurses perform in the 'building a trusting relationship' stage? Select all that apply
A) Gathering information about the child using the child's own toys
B) Preparing the child for a procedure by playing games
C) Explaining in simple terms what will happen during surgery
D) Allowing the child to devise an exercise plan following surgery
E) Praising the child for how well he is doing following instructions
F) Giving the child a favorite toy to cuddle following a painful procedure
Ans: B, C
The introduction phase involves the initial contact with children and their families and it establishes the foundation for a trusting relationship. A trusting relationship can be built by using appropriate language, games, and play such as singing a song during a procedure, preparing the child adequately for procedures, and providing explanations and encouragement. In the decision-making phase, the nurse gives some control over to the child by allowing him to participate in making certain decisions, such as devising an exercise. Finally, the comfort and reassurance phase uses techniques such as praising the child and providing opportunities to cuddle with a favorite toy.
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