The nurse caring for a nine-year-old child with extensive burns needs to prepare the child for going to whirlpool therapy for the first time. The most effective response to promote communication with this child would be:
1. "Have you been to the playroom yet? Maybe when you get back from whirlpool we can check it out together."
2. "Before you leave for whirlpool, I will give you a shot that will relax you, and you probably won't even remember going downstairs at all."
3. "I am going to be taking you downstairs to whirlpool. Do you have any questions?"
4. "Some of the children I have worked with have told me that they worried about the whirlpool hurting them."
4
Rationale 1: Ignoring or distracting from the current situation does not allow the child to feel able to open up to the nurse about his fears and concerns. In addition, children live in the present, and they will not look forward to the promise of a visit to a playroom in the future.
Rationale 2: This statement might be confusing and might frighten the child. "Leave" for whirlpool could be misinterpreted as "going away."
Rationale 3: The child does not know what questions to ask, nor would he voluntarily ask them if he knew.
Rationale 4: This statement is most likely to encourage the child to discuss his own concerns about the procedure.
Global Rationale:
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