The nurse is caring for a 10-year-old girl who has required multiple venipunctures and a CT scan in a single day. The girl has expressed no fear or need for comfort. How should the nurse respond?
A) "Tell me about your day today."
B) "Are you doing okay?"
C) "Are you feeling okay?"
D) "You have done really well today."
A
Response:
The nurse should ask an open-ended question to start a conversation so that the girl has the opportunity to express her feelings and be comforted. School-age children and adolescents may not demonstrate behavior indicating the need for comforting. It is important to praise the girl for her appropriate behavior, but the nurse should first give the girl an opportunity to express her feelings so the nurse can address her concerns. Asking the girl whether she is feeling okay or doing okay is likely to elicit a positive response no matter how she is feeling.
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