Using knowledge of child development, the best approach when ...

[rmenurse]

Using knowledge of child development, the best approach when preparing a toddler for a procedure is to:
 
  a. Avoid asking the child to make choices.
  b. Demonstrate the procedure on a doll.
  c. Plan for the teaching session to last about 20 minutes.
  d. Show necessary equipment without allowing child to handle it.

Question 2

The nurse is preparing a 12-year-old girl for a bone marrow aspiration. She tells the nurse that she wants her mother with her like before. The most appropriate nursing action is to:
 
  a. Grant her request.
  b. Explain why this is not possible.
  c. Identify an appropriate substitute for her mother.
  d. Offer to provide support to her during the procedure.

[SVictor]

Answer to Question 1

ANS: B
Prepare toddlers for procedures by using play. Demonstrate on a doll, but avoid the child's favorite doll because the toddler may think the doll is really feeling the procedure. In preparing a toddler for a procedure, the child is allowed to participate in care and help whenever possible. Teaching sessions for toddlers should be about 5 to 10 minutes. Use a small replica of the equipment and allow the child to handle it.

Answer to Question 2

ANS: A
The parents' preferences for assisting, observing, or waiting outside the room should be assessed, as well as the child's preference for parental presence. The child's choice should be respected. If the mother and child are agreeable, the mother is welcome to stay. An appropriate substitute for the mother is necessary only if the mother does not wish to stay. Support is offered to the child regardless of parental presence.

[rmenurse]

Thanks for the timely response, appreciate it

[juliaf]

Excellent