A six-year-old child is being seen in the clinic for a well-child visit. The child is visibly nervous and fearful of the nurse and the nurse's actions. The nurse should:
1. Ask the parent to leave the examination room as this is probably the cause of the child's nervousness.
2. Assure the child that you will not hurt her.
3. Say to the child: "Tell me why you are so nervous."
4. Explain to the child what you are doing in terms the child can understand. Explain the equipment and, when possible, let the child handle the equipment first.
4
Rationale 1: The six-year-old child usually is most comfortable when the parent remains in the examination room.
Rationale 2: This is a promise the nurse may not be able to keep. Lab tests and immunizations may be a part of the health visit.
Rationale 3: Explaining feelings and why they are present can be very difficult for adults as well as children. Small children will have even more difficulty in expressing their feelings.
Rationale 4: This activity will help allay the child's fears.
Global Rationale:
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