Exhibits Review H and P, and nurse's note. Which action(s) is/are appropriate for the nurse caring for this child? Select all that apply.

A. Develop a trusting relationship with the child: Building trust helps the child feel safe and supported in the hospital environment, which is especially important after prolonged hospitalization and separation from his primary caregiver. Establishing rapport can reduce anxiety and improve cooperation with care. B. Facilitate phone conversations between the child and his mother: Maintaining contact with the mother helps decrease separation anxiety and supports the child’s emotional well-being. Phone or video calls provide reassurance and comfort when physical visits are not possible. C. Avoid mentioning anything about the mother to the child: Avoiding discussion about the mother can increase the child’s distress, as he is expressing sadness and longing. Acknowledging feelings and providing reassurance is more therapeutic than avoidance. D. Notify the mother that social services will be notified if she does not visit regularly: Threatening social services is inappropriate and could increase the child’s anxiety and sense of insecurity. The focus should be on supporting the child’s emotional needs rather than penalizing the parent. E. Ask the mother to bring a familiar object from home: Familiar objects provide comfort and security, helping the child cope with separation and the unfamiliar hospital environment. This intervention supports emotional regulation and participation in care. F. Have the child sign a treatment contract stating he will participate in therapy: For a 4-year-old, formal contracts are not developmentally appropriate and may increase resistance. Encouragement and play-based strategies are more effective for promoting cooperation.