Before giving a 5-year-old an IM injection, which action is appropriate?

Before giving a 5-year-old an IM injection, which action is appropriate?

• A. Tell the child about the injection immediately before giving it
• B. Tell the child to hold still so the injection would not hurt
• C. Show the child the amount of medication in the syringe
• D. Allow the child to observe another child receiving an injection

Answer: (A)

The key idea here is using honest, developmentally appropriate communication to prepare a young child for a procedure. For a 5-year-old, giving a brief heads-up about what will happen right before the injection helps reduce fear and surprise, which can make the experience feel less threatening and improve cooperation. Simple language like, “You’re going to feel a quick pinch, and then it will be over,” provides a realistic expectation and reassurance. Telling the child to hold still without any context can feel punitive and may heighten anxiety rather than ease it. Showing the child the amount of medication or letting them watch another child receive an injection can be confusing or frightening for a preschooler. The brief, upfront explanation aligns with comforting, trust-building care and helps the child mentally prepare for the procedure.

The key idea here is using honest, developmentally appropriate communication to prepare a young child for a procedure. For a 5-year-old, giving a brief heads-up about what will happen right before the injection helps reduce fear and surprise, which can make the experience feel less threatening and improve cooperation. Simple language like, “You’re going to feel a quick pinch, and then it will be over,” provides a realistic expectation and reassurance.

Telling the child to hold still without any context can feel punitive and may heighten anxiety rather than ease it. Showing the child the amount of medication or letting them watch another child receive an injection can be confusing or frightening for a preschooler. The brief, upfront explanation aligns with comforting, trust-building care and helps the child mentally prepare for the procedure.