American Medical Certification Association (AMCA) Phlebotomy Practice Exam

When performing phlebotomy on a young, fearful child, what should you explain to them?

1. The procedure will be quick and painless

2. Explain in simple terms what will be done

3. Not to worry

4. That it’s for their own good

The correct answer is: Explain in simple terms what will be done

When performing phlebotomy on a young, fearful child, explaining the procedure in simple terms is the most effective approach. Children may have difficulty understanding complex medical jargon, so using straightforward language helps them comprehend what is happening without causing additional fear or anxiety. This method not only reassures the child but also prepares them for the experience they will undergo. It may include describing the procedure, such as saying a small needle will be used to take a little blood, and emphasizing that it is a brief process. Providing clear and honest information respects the child's ability to understand and fosters trust. While other approaches might aim to reassure, they can fall short if the child remains uncertain about what to expect. For instance, saying the procedure will be ‘quick and painless’ may set unrealistic expectations, and telling them not to worry could come off as dismissive of their feelings. Explaining that it’s for their own good might also be too abstract for a child, as they may struggle to see the benefit in the moment. Overall, using simple and direct explanations is the most appropriate practice in this scenario.