A spinal tap must be done on a 9-year-old boy. While he is waiting in the treatment room, the nurse observes that he seems composed. When the nurse asks him if he wants his mother to stay with him, he says, "I am fine."
How should the nurse interpret this situation?
a. This child is unusually brave.
b. He has learned that support does not help.
c. Nine-year-old boys do not usually want a parent present during the procedure.
d. Children in this age group often do not request support even though they need and want it.
ANS: D
The school-age child's visible composure, calmness, and acceptance often mask an inner longing for support. Children of this age have a more passive approach to pain and an indirect request for support. It is especially important to be aware of nonverbal cues such as facial expression, silence, and lack of activity. Usually when someone identifies the unspoken messages, the child will readily accept support.
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