Which response is most appropriate when admitting a distressed 5-year-old child hugging a stuffed animal?

The response that acknowledges the child's distress while also recognizing the comfort provided by the stuffed animal is particularly appropriate. Validation of the child's feelings is essential in pediatric care, especially for younger children who may have difficulty articulating their emotions.

By stating, "You are upset. I see you have your stuffed animal," the nurse shows empathy and understanding. This response not only highlights the child's emotional state but also references the stuffed animal, which may serve as a source of comfort and security for the child. It opens the door for further communication and helps the child feel seen and heard, which can be crucial in alleviating anxiety and fostering a trusting relationship with healthcare providers.

This approach contrasts with suggesting alternative activities or trying to redirect the child without acknowledging their emotions, which may not address the child's immediate feelings of distress. Engaging with the child on their level and validating their feelings helps build rapport and can make the admission process smoother for both the child and the caregiver.