A nurse is teaching the parents of a preschooler who is experiencing urinary incontinence at night. The nurse should instruct the parents that which of the following interventions is most effective in treating enuresis?

Keeping a record of dry nights in a daily diary

Beginning medication therapy to inhibit urination

Using an alarm to wake the child at the onset of urination

Using stickers as positive reinforcement for dry nights

Answer and Explanation

The Correct Answer is C

A. Keeping a record of dry nights in a daily diary: This can be helpful for tracking progress but is not the most effective intervention for treating enuresis.
B. Beginning medication therapy to inhibit urination: Medication can be used in some cases, but it is typically not the first-line treatment for enuresis.
C. Using an alarm to wake the child at the onset of urination: This is correct. Bedwetting alarms are considered the most effective intervention for treating enuresis. They condition the child to wake up or hold urine when the bladder is full.
D. Using stickers as positive reinforcement for dry nights: This can be useful as part of a behavioral approach but is not as effective as using a bedwetting alarm.

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Correct Answer is D

Explanation

A. "Let's focus on something positive and not discuss the fire today." This response is dismissive and invalidates the client's feelings and experiences.
B. "I think you should move in with your parents temporarily." This response is prescriptive and assumes that the nurse knows what is best for the client without understanding her specific needs and circumstances.
C. "I don't believe that you will experience long-term effects from this." This response minimizes the client's potential trauma and does not acknowledge the serious impact such an event can have.
D. "Tell me how I can best help you right now." This response is empathetic and client-centered, allowing the client to express her needs and feel supported.

A. Verify the client's understanding beyond affirmative nodding. B. Encourage the client to drink iced water to manage an elevated temperature. C. Avoid using gestures when communicating with the client. D. Inform the client that herbal remedies are not effective in treating tuberculosis.

Correct Answer is A

Explanation

A. Verify the client's understanding beyond affirmative nodding. It's crucial to ensure that the client truly understands the information, as nodding may not always indicate comprehension.
B. Encourage the client to drink iced water to manage an elevated temperature. This advice is not culturally specific and may not be appropriate for all clients.
C. Avoid using gestures when communicating with the client. Gestures can be helpful but should be used with caution as they can have different meanings in different cultures.
D. Inform the client that herbal remedies are not effective in treating tuberculosis. This dismisses the client's cultural beliefs and practices and can be seen as culturally insensitive. Instead, the nurse should provide evidence-based information and work with the client's beliefs.

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A nurse is teaching the parents of a preschooler who is experiencing urinary incontinence at night. The nurse should instruct the parents that which of the following interventions is most effective in treating enuresis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a community health center is consulting with a client who lost her home in a fire a few days ago. Which of the following responses should the nurse make?

Correct Answer is D

Explanation

A nurse is caring for a client who has tuberculosis and speaks a different language than the nurse. When providing culturally competent care, which of the following actions should the nurse take?

Correct Answer is A

Explanation

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