While trying to inform a five-year-old girl about what will occur during an upcoming CT scan, the nurse notices that the child is engaged in a collective monologue, talking about a new puppy. The nurse's best response would be:
1. "You must be so excited to have a new puppy! They are so much fun. Now let me tell you again about going downstairs in a wheelchair to a special room."
2. "Please stop talking about your puppy. I need to tell you about your CT scan."
3. "I'll come back when you are ready to talk with me more about your CT scan."
4. Ignore the child's responses and continue discussing the procedure.
1
Rationale 1: When a child becomes engaged in a collective monologue, it is best to respond to the content of her conversation and then attempt to reinsert facts about the content that needs to be covered.
Rationale 2: Asking the child to stop talking about her puppy and then abruptly talking about the CT scan will alienate the child and possibly make her shut down.
Rationale 3: Coming back later is not usually an option, as radiological exams are scheduled for a certain time. The nurse needs to address the inattention but should listen for a few moments before directing the patient's attention.
Rationale 4: Ignoring the child's obvious lack of attention will not help prepare her for the upcoming procedure.
Global Rationale:
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