A nurse is caring for a 4-year-old child who is hospitalized with a respiratory illness and wet 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?
"Why does it bother you that your child has wet the bed?"
"Your child did not seem upset, so I wouldn't worry about it if I were you."
"Is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better."
"I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me."
The Correct Answer is C
A. This response is confrontational and may make the parent feel defensive rather than supported. It does not address the parent’s concerns about their child's behavior.
B. While reassuring, this response downplays the parent's feelings and does not provide relevant information about why regression may occur during hospitalization.
C. This response normalizes the behavior and educates the parent that regression can happen during stressful events like hospitalization, providing reassurance that the child’s skills will return.
D. Although this response shows empathy, it may not provide the educational information that the parent needs to understand the situation.
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Related Questions
Correct Answer is D
Explanation
A. Concerns about loss of control and body image are more common in older children, particularly school-aged children.
B. Fear of the unknown and being left alone is more characteristic of preschoolers or older children.
C. While infants may experience pain, their primary fear is separation from caregivers.
D. At 10 months, infants are in a stage where separation anxiety is prominent. Fear of strangers and distress due to separation from caregivers is a significant developmental challenge for hospitalized infants.
Correct Answer is B
Explanation
A. Doing everything for the child can hinder their ability to develop independence and confidence.
B. Encouraging a toddler to try things for themselves fosters independence and supports their developmental task of gaining autonomy, which is essential at this stage.
C. While teaching right from wrong is important, an overly strict approach may lead to feelings of guilt and inhibit exploration.
D. Providing opportunities for social play is beneficial, but it is not as directly related to the independence that the child needs at this age.
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