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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Use quick deliberate gestures to get your point across.
Using quick gestures may intimidate or overwhelm the child, potentially hindering communication. It's essential to approach the child with patience and attentiveness.
B. Allow the child to control the pace and order of the health history.
Allowing the child to dictate the pace and sequence of the health history empowers them and helps build trust. It allows the child to express themselves comfortably and share relevant
information at their own pace.
C. Do not make physical contact with the child during the interview.
While respecting the child's personal space is important, appropriate physical contact, such as a reassuring touch or handshake, can help establish rapport and comfort during the interview.
D. Wear a white examination coat when conducting the interview.
Wearing a white coat may create a sense of formality and authority that could intimidate the child. Opting for attire that is approachable and friendly can help put the child at ease and facilitate open communication.
Correct Answer is B
Explanation
A. "His average daily intake should be about 3,000 calories.": This statement is incorrect because the average daily calorie intake for a toddler is much lower, typically ranging from 1,000 to 1,400 calories, depending on factors such as age, weight, and activity level.
B. "The quality of food I provide him is more important than the quantity.": This statement reflects an understanding of the importance of nutrient-dense foods in a toddler's diet rather than focusing solely on the quantity of calories consumed.
C. "Because he is such a picky eater, I will give him one of my vitamins each day.": While offering a vitamin supplement may seem like a solution to address nutritional gaps, it's important for toddlers to receive essential nutrients from a variety of foods rather than relying solely on supplements.
D. "I should expect him to have an increased appetite.": While toddlers may experience fluctuations in appetite, expecting a consistently increased appetite may not be accurate or indicative of healthy eating habits.
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