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    N158 paediatrics proctored exam

    A nurse notices a school-age child asking detailed questions about a procedure and requesting to choose the color of their bandage. What is the best nursing response?

    Explanation & Rationale

    Choice A reason: Providing minimal information may increase anxiety in school-age children, who are cognitively capable of understanding procedures and benefit from clear, age-appropriate explanations. Lack of information can lead to mistrust and fear. Choice B reason: While caregivers play a vital role, school-age children are developing autonomy and should be involved in decisions about their care when appropriate. Deferring all decisions to caregivers undermines the child’s growing independence. Choice C reason: Redirecting the child avoids addressing their concerns and may increase distress. School-age children often seek information to feel in control and reduce uncertainty. Avoidance can be counterproductive. Choice D reason: Encouraging participation and answering questions supports the child’s developmental need for autonomy and mastery. It builds trust, reduces anxiety, and empowers the child to engage in their care. Allowing choice, such as bandage color, reinforces control and comfort.

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