A nurse cares for a 4-year-old child with croup who wets the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?
"It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."
"Why does it bother you that your child has wet the bed?"
"I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."
"Your child did not seem upset, so I wouldn't worry about it if I were you."
The Correct Answer is A
A. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." Hospitalization can be stressful and disruptive for children, often causing temporary regression Reassuring parents that this behavior is common and usually resolves as the child recovers helps reduce parental anxiety and supports understanding.
B. "Why does it bother you that your child has wet the bed?" This response may come across as confrontational or judgmental, potentially increasing the parent's distress rather than providing comfort or support during a vulnerable moment.
C. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me." While this statement shows empathy, it may unintentionally shift focus to the nurse’s experience rather than validating the parent’s feelings. A more supportive response addresses the child’s needs and parental concerns directly.
D. "Your child did not seem upset, so I wouldn't worry about it if I were you." Dismissing the parent's feelings about the situation may cause them to feel unheard or invalidated. Acknowledging the parent's emotions while providing reassurance is a more supportive approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "We will place my baby on her back when sleeping." Placing infants on their backs to sleep is a well-established protective measure against SIDS and aligns with safe sleep guidelines from the American Academy of Pediatrics. This practice helps maintain an open airway and reduces the risk of suffocation.
B. "We will remove blankets and toys from the crib." Keeping the crib free of loose bedding, pillows, and toys reduces suffocation risk and is recommended to create a safe sleep environment for infants. Soft objects in the crib can obstruct breathing and increase the chance of accidental smothering.
C. "Our baby will sleep in our bed because I am breastfeeding." Bed-sharing increases the risk of SIDS and accidental suffocation, even if the parent is breastfeeding. The American Academy of Pediatrics recommends room-sharing without bed-sharing to promote safety while allowing proximity for feeding.
D. "We will give my baby a pacifier during naps and at bedtime."Pacifier use during sleep has been associated with a decreased risk of SIDS, even if the pacifier falls out after the infant falls asleep. It may help maintain airway patency or affect sleep patterns.
Correct Answer is C
Explanation
A. Autonomy vs. shame and doubt: This stage occurs between ages 1 and 3, when toddlers develop a sense of independence in basic self-care tasks. A 9-year-old has already passed this stage, making it inappropriate for care planning.
B. Identity vs. role confusion: Typical of adolescence (ages 12 to 18), this stage involves forming a personal identity and sense of self. Since the child is 9 years old, they have not yet entered this stage of psychosocial development.
C. Industry vs. inferiority: This stage occurs between ages 6 and 12, when children strive to gain competence and confidence through learning and task completion. Planning home care should include strategies that build the child's self-efficacy and encourage responsibility.
D. Initiative vs. guilt: This stage applies to preschoolers (ages 3 to 6) who learn to initiate activities and develop a sense of purpose. A 9-year-old is already beyond this stage and requires more complex developmental support.
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