A 4-year-old child is going to have an abdominal x-ray examination. The child asks, "Why do they have to do this? Will it hurt?" Which of the following is the most appropriate response by the nurse?
a. "The doctor needs you to have the x-ray so she knows what is wrong with you."
b. "You will go to the x-ray department so they can take pictures of your tummy to find out why you have a tummy ache. The bed you lie on may be cool, but you will have a blanket to keep you warm. The test will not hurt."
c. "You will go downstairs on a stretcher. You will need to lie very still on a hard table while the x-ray machine goes over you. It will not take very long."
d. "X-rays do not hurt. The machine takes a picture but will not touch you."
ANS: B
A
Telling the child that he will need an x-ray to determine what is wrong with him does not provide a clear explanation that addresses the child's concerns.
B
The nurse's response explains the procedure in clear and simple words that are suitable to a 4-year-old child.
C
Explaining the x-ray procedure in terms that may not be easy to understand for a 4-year-old does not provide a clear explanation that addresses the child's concerns.
D
Telling the child that x-rays do not hurt and that they take pictures does not provide a clear explanation that addresses the child's concerns.
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