What should a nurse do to promote a sense of control for a child during hospitalization?

• A. Provide choices and prepare the child for unfamiliar treatments.
• B. Limit information to reduce anxiety.
• C. Make all decisions without child involvement.
• D. Emphasize routine tasks only.

Answer: (A)

The idea being tested is promoting a sense of control by involving the child in care decisions and in preparing for what will happen. When a hospitalized child is given small, meaningful choices and a clear, age-appropriate explanation of upcoming treatments, they feel more in control of what’s happening to them. This reduces fear and anxiety because the child knows what to expect and can influence aspects of their day, such as selecting which bandage to wear, choosing what to wear, or deciding which short activity or distraction to use before a procedure. Preparing the child for unfamiliar treatments with simple, honest information about what will be done, why it’s needed, and what sensations might occur helps set expectations and diminishes the surprise that can heighten distress.

Limiting information or making all decisions without involving the child undermines autonomy and can increase anxiety and resistance. Emphasizing routine tasks without inviting participation misses opportunities to empower the child and support coping. So the approach that best promotes a sense of control is to provide choices and prepare the child for what will happen in a developmentally appropriate way.