A 6-year-old boy whose family recently welcomed home a new baby started wetting the bed. These episodes have occurred at least twice a week for the past 3 months. The nurse practitioner should explain this behavior to the parents as which of the following?
Normal behavior
Nocturnal enuresis
Diabetes mellitus
Neurogenic bladder
The Correct Answer is B
Choice A reason: Bedwetting at this age, particularly triggered by stress such as a new sibling, is not abnormal in frequency and timing, but labeling it simply as "normal behavior" overlooks the clinical terminology and potential interventions.
Choice B reason: This is correct. Nocturnal enuresis is the medical term for involuntary urination during sleep in children aged 5 or older. Stressors such as new family dynamics can precipitate episodes. Reassurance and behavioral interventions are typically appropriate.
Choice C reason: Diabetes mellitus may cause polyuria, but in a child with isolated bedwetting without other symptoms (excessive thirst, weight loss, polyphagia), this is unlikely.
Choice D reason: Neurogenic bladder is associated with neurological conditions affecting bladder control, often presenting with daytime incontinence or other neurologic deficits, which are absent here.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: This is the correct answer. A score of 10 falls within the mild symptom range on the Yale-Brown Obsessive Compulsive Scale (0–7: subclinical, 8–15: mild, 16–23: moderate, 24–31: severe). It indicates that while the patient experiences obsessions and compulsions, they cause only mild interference in daily functioning.
Choice B reason: Moderate symptoms correspond to scores between 16 and 23. The patient’s score of 10 is below this threshold, so moderate symptoms are not indicated.
Choice C reason: Moderate to severe symptoms reflect scores generally from 24 to 31, which is much higher than this patient’s score.
Choice D reason: Severe symptoms are indicated by scores above 31, reflecting extreme impairment. A score of 10 does not meet these criteria.
Correct Answer is B
Explanation
Choice A reason: Panic attacks are the symptomatic episodes themselves, not the diagnosis. A diagnosis of panic disorder requires recurrent, unexpected panic attacks with persistent concern or behavioral changes related to the attacks.
Choice B reason: Panic disorder involves recurrent, unexpected panic attacks with significant concern about future attacks or their implications. This patient demonstrates multiple unprovoked episodes with accompanying worry, consistent with panic disorder.
Choice C reason: Generalized anxiety disorder involves chronic, excessive worry about multiple domains, often with tension and restlessness. The abrupt, episodic, intense fear seen here is characteristic of panic disorder rather than GAD.
Choice D reason: Substance or medication-induced panic disorder requires evidence of exposure to a causative substance. The patient denies use of substances or medications that could trigger these episodes.
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