While being comforted in the Emergency Department, the 7-year-old sibling of a pediatric trauma victim blurts out to the nurse, "It's all my fault! When we were fighting yesterday, I told him I wished he was dead!" The nurse, realizing that
the child is experiencing magical thinking, should respond by: 1. Asking the child if he would like to sit down and drink some water.
2. Sitting the child down in an empty room with markers and paper so that he can draw a picture.
3. Calmly discussing the catheters, tubes, and equipment that the client requires, and explaining to the sibling why the client needs them.
4. Reassuring the child that it is normal to get angry and say things that we do not mean, but that we have no control over whether an accident happens.
4
Rationale: Magical thinking is the belief that events occur because of one's thoughts or actions. The other options would not be therapeutic at this time.
1. This is not a therapeutic action in this situation.
2. This is not a therapeutic action in this situation.
3. This is not a therapeutic action in this situation.
4. The most therapeutic way to respond to this is to correct any misconceptions that the child might have and reassure him that he is not to blame for any accident or illness.
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