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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Supplemental fruit juice is not recommended for infants at this age as breast milk provides the necessary nutrients for growth and development.
B. While vitamin C is important, breast milk provides enough for infants. Iron and vitamin D are typically recommended for exclusively breastfed babies.
C. Iron supplements alone are not enough; vitamin D is also necessary since breastfed infants may not get enough from breast milk or sunlight.
D. It is recommended that breastfed infants receive vitamin D supplements to prevent deficiency, as well as iron supplements after 4-6 months to prevent anemia.
Correct Answer is ["B","C","D"]
Explanation
A. Delaying the injection may increase the child's anxiety and fear regarding the procedure; it is better to proceed without unnecessary delays.
B. Providing comfort measures after the injection helps to ease the child's distress and provides reassurance during recovery.
C. Accepting and acknowledging the child’s aggressive behavior as a normal reaction to fear helps the child process their feelings, while offering healthy outlets helps manage these feelings.
D. Offering a brief, concrete explanation helps prepare the child for what to expect, reducing anxiety and making the procedure more manageable.
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