The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

"Tell me about the circumstances when this occurs."

"Is there a family history of diabetes?"

"Suddenly having accidents can be a sign of diabetes."

"That's normal: don't worry about it."

Answer and Explanation

The Correct Answer is A

A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.

Understanding the context can help identify possible underlying causes and guide appropriate interventions.

B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.

C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.

D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.

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Correct Answer is C

Explanation

A. Telling about safety procedures during baths: While bath safety is important, it may not be the most relevant topic for a 9-month-old, who may already have established bathing routines. Additionally, the focus of anticipatory guidance at this age is often broader than just one specific activity.

B. Warning about small objects left on the floor: While important for safety, this advice may be more pertinent when the child is older and more mobile. At 9 months, infants are typically not yet crawling or exploring the environment as extensively.

C. Advising how to create a toddler-safe homE. At 9 months, infants are becoming more mobile and curious, so advising on how to create a safe environment is crucial to prevent accidents and injuries as the child begins to explore their surroundings.

D. Cautioning about putting the baby in a walker: Walkers are generally not recommended due to safety concerns, but this advice may be more relevant when the child is closer to reaching the appropriate age for walker use.

A. Ignore the temper tantrums. B. Tell the child that temper tantrums are not acceptable. C. Restrain the child physically. D. Distract the child by offering to play a game.

Correct Answer is D

Explanation

A. Ignore the temper tantrums. - Ignoring tantrums may work for some children, but it's not a universal solution and can sometimes escalate the behavior. It also doesn't teach the child appropriate ways to cope with their emotions.

B. Tell the child that temper tantrums are not acceptable. - While setting boundaries is important, simply telling the child that tantrums are unacceptable without providing alternative coping

mechanisms may not be effective, especially for a toddler who may not fully understand verbal reasoning.

C. Restrain the child physically. - Physically restraining the child can be harmful and is not recommended as a method for handling temper tantrums. It can lead to increased frustration and potentially cause injury to the child.

D. Distract the child by offering to play a game. - Distracting the child with a game or other engaging activity can help redirect their attention away from the tantrum and towards a more positive outlet for their emotions. This approach can be effective in diffusing the situation and teaching the child healthy coping strategies.

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The mother of a 4-year-old boy tells the nurse that her son occasionally wets his pants during the day. How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Correct Answer is C

Explanation

A parent of a toddler asks a nurse at a well-child visit how the child's frequent tempertantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Correct Answer is D

Explanation

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