Certified Pediatric Nurse (CPN)

What is the best method for helping a frightened 4-year-old with finger sticks?

1. Let her hold a stuffed animal

2. Encourage her mother to coach her

3. Have her count backwards from 10

4. Allow her to practice with dolls

The correct answer is: Allow her to practice with dolls

The best method for helping a frightened 4-year-old with finger sticks is to allow her to practice with dolls. This approach is effective because it provides a safe and non-threatening environment where the child can familiarize herself with the concept of having a finger stick without experiencing pain or anxiety. Through this play-based method, she can gain a sense of control and understanding, which may help reduce her fear. Interactive play with dolls lets the child explore emotions associated with medical procedures, enabling her to act out the experience. This method also allows caregivers to explain the procedure in child-friendly terms, reinforcing the idea that finger sticks are a part of health care that can help her feel better. The other methods, while potentially helpful, may not address the root of the child's fear as effectively as this one. For example, letting her hold a stuffed animal could provide comfort, but it does not actively engage her in understanding what will happen. Encouraging her mother to coach her might have some positive effects; however, it might also increase anxiety if the child is looking to her mother for reassurance. Counting backwards could act as a distraction but may not contribute significantly to reducing fear regarding the procedure. Thus, practicing with dolls is the most comprehensive and beneficial approach in this scenario.