A nurse is caring for a 4-year-old child who has croup 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?
This 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?
Your child did not seem upset, so I wouldn't worry about it if I were you.
I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me.
The Correct Answer is A
Choice A reason: This is a therapeutic response that acknowledges the parent's feelings and provides reassurance that the behavior is normal and temporary. The other responses are either dismissive, judgmental, or self-disclosing, which are not helpful for the parent.
Choice B reason: This is a judgmental response that implies that the parent is overreacting or has unrealistic expectations for their child.
Choice C reason: This is a dismissive response that minimizes the parent's concern and does not offer any support
or information.
Choice D reason: This is a self-disclosing response that shifts the focus from the parent to the nurse and does not
address the issue at hand.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A: The Oucher pain scale is not suitable for a 6-month-old infant, as it is designed for children aged 3 to 13 years who can point to pictures of faces that match their pain level. A 6-month-old infant cannot communicate verbally or point to pictures.
Choice B: The FLACC pain scale is suitable for a 6-month-old infant, as it is designed for infants and children aged 2 months to 7 years who cannot verbalize their pain. The FLACC pain scale assesses five behavioral indicators of pain: face, legs, activity, cry, and consolability. Each indicator is scored from 0 to 2 based on the observation of the nurse. The total score ranges from 0 to 10, with higher scores indicating more pain.
Choice C: The FACES pain scale is not suitable for a 6-month-old infant, as it is designed for children aged 3 years and older who can select a face that matches their pain level. A 6-month-old infant cannot communicate verbally or select a face.
Choice D: The Visual Analog Scale (VAS) is not suitable for a 6-month-old infant, as it is designed for adults and older children who can mark a point on a line that represents their pain level. A 6-month-old infant cannot communicate verbally or mark a point on a line.
Correct Answer is D
Explanation
Choice A: A decreased heart rate is not a sign of pain in an infant, as pain usually causes an increased heart rate due to sympathetic nervous system activation. A decreased heart rate may indicate other problems, such as hypothermia, hypoxia, or bradycardia.
Choice B: A decreased respiratory rate is not a sign of pain in an infant, as pain usually causes an increased respiratory rate due to sympathetic nervous system activation. A decreased respiratory rate may indicate other problems, such as hypothermia, hypoxia, or respiratory depression.
Choice C: An increased formula consumption is not a sign of pain in an infant, as pain usually causes a decreased appetite and oral intake due to discomfort and distress. An increased formula consumption may indicate other factors, such as growth spurt, hunger, or thirst.
Choice D: An increased crying episode is a sign of pain in an infant, as crying is one of the most common and reliable indicators of pain in infants who cannot verbalize their feelings. An increased crying episode may also be accompanied by other signs of pain, such as facial grimacing, body tensing, or inconsolability.
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