Certified Medical Assistant (CMA AAMA)Communication and Legal/EthicalMedium
A medical assistant is preparing to perform a venipuncture on a 6-year-old child. The child is visibly anxious and starts to cry, pulling their arm away. Which of the following therapeutic communication techniques is most appropriate for the medical assistant to use?
- ATell the child that if they hold still, it won't hurt as much.
- BExplain the procedure in simple terms and allow the child to ask questions.
- CAsk the parent to hold the child down firmly to ensure cooperation.
- DReassure the child that brave children don't cry during shots.
Show answer & explanationAnswer & explanation
Correct answer: B. Explain the procedure in simple terms and allow the child to ask questions.
For children, therapeutic communication involves explaining procedures in age-appropriate language, being honest about potential discomfort, and allowing them to participate by asking questions. This helps build trust and reduces anxiety.
Why the other options are wrong
- A. This is a form of false reassurance; it might still hurt, and linking pain to stillness can be misleading.
- C. Forcing a child is a last resort and should be avoided if possible. It can traumatize the child and damage trust.
- D. This is critical and shaming, undermining trust and making the child feel worse about their natural fear.
Pediatric Therapeutic Communication
Adapting communication techniques to a child's developmental level to build trust and reduce anxiety in healthcare settings.
- Use simple, concrete language.
- Be honest about sensations.
- Allow for questions and choices (when appropriate).
Memory trick: Explain Simply, Let Them Ask.