A 10-year-old girl needs to have another intravenous (IV) line started. She keeps telling the nurse, "Wait a minute," and, "I'm not ready." How should the nurse interpret this behavior?

a. IV insertions are viewed as punishment.
b. This is expected behavior for a school-age child.
c. Protesting like this is usually not seen past the preschool years.
d. The child has successfully manipulated the nurse in the past.


ANS: B
This school-age child is attempting to maintain some control over the hospital experience. The nurse should provide the girl with structured choices about when the IV line will be inserted. Preschoolers can view procedures as punishment; this is not typical behavior of a preschool-age child.

Nursing

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