The nurse needs to insert an intravenous access device into a toddler who is crying and scared. The parent asks if the procedure is painful. When practicing veracity, what should the nurse respond to the parent?
1. "I won't lie to you. It may be easier for you if you step out until we get the line in."
2. "We'll take every care not to hurt your child."
3. "It shouldn't be too bad and I'll be quick."
4. "We do this all the time, so don't worry."
Correct Answer: 1
Rationale 1: Veracity refers to telling the truth. Even though telling the truth may frighten the parent, starting an IV on a frightened, scared, ill child is a difficult task. Because of the child's developmental stage, any explanation given by the nurse won't be understood. Being honest with the parent will help the nurse gain trust and will outweigh any benefits that may be gained by downplaying the situation.
Rationale 2: Saying that the nurse will everything possible not to hurt the child will not negate the fact that it will hurt. A needle going into a vein is not a comfortable procedure.
Rationale 3: Saying that the nurse will perform the task quickly is not a sufficient answer to the parent. A needle going into a vein is not a comfortable procedure. The nurse really doesn't know how bad it will hurt the child.
Rationale 4: Telling the parent not to worry is pointless.
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