A nurse is caring for a 4-year-old child who has a new diagnosis of diabetes mellitus and is distressed after an insulin injection. Which of the following play activities should the nurse recognize is therapeutic in helping the child deal with the injection?
Explanation & Rationale
A. A story book about a child who has diabetes: While a storybook about diabetes might help educate the child and reduce anxiety, it may not be as effective as an interactive activity like using a doll to demonstrate the injection process. A book can provide information but may not directly address the child's fear or distress in a hands-on way. B. A period of play in the playroom: General playtime in the playroom is beneficial for emotional expression and overall well-being but may not directly address the child's distress related to the insulin injection or help them cope with the specific experience. C. A needleless syringe and a doll: Allowing the child to use a needleless syringe on a doll helps them gain a sense of control over the situation. This hands-on, role-playing activity can help desensitize the child to the injection and make the experience less frightening by making it more familiar and less threatening. D. A video game: While video games can provide a distraction, they are unlikely to directly address the child's fear of injections in a therapeutic manner. They may divert attention but do not actively involve the child in a coping strategy related to the injection.