Following a car accident, a four-year-old child was admitted to the pediatric intensive care unit. Both parents were injured in the accident and have been unable to visit
The child's condition has stabilized, and the child is transferred to the surgical unit for the remainder of her hospitalization. The child has not expressed any feelings during the hospitalization. Which interventions might help the child express her feelings? 1. Asking the hospital chaplain to talk with the child
2. Use play therapy including mother, father, and child dolls.
3. Use journaling to allow the child to express herself.
4. Using humor by telling knock-knock jokes
2
Rationale 1: A four-year-old child has limited understanding of religious values and would not benefit from talking to the chaplain.
Rationale 2: Play is the work of the child, and children are often able to express their feelings in play when they lack the verbal skills to express them.
Rationale 3: Journaling is appropriate for an older child, but this child does not have the ability to put thoughts into writing.
Rationale 4: Knock-knock jokes are appropriate for a four-year-old child but would not help the child express her feelings.
Global Rationale:
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