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 ["A","B","C"]
Explanation
A. Acts out roles of other peoplE. Preschoolers often engage in imaginative play and enjoy pretending to be other people or characters. This type of play allows them to explore different roles and scenarios, fostering creativity and social development.
B. Plans activities and makes up games: Preschoolers are becoming more independent and enjoy planning and organizing their activities. They may invent their own games, stories, or
imaginative scenarios, demonstrating their growing cognitive abilities and creativity.
C. Initiates activities with others: Preschoolers are becoming more social and enjoy interacting with peers and adults. They may take the initiative to start games, activities, or conversations with others, demonstrating their growing confidence and social skills.
D. Engages in parallel play with peers: Parallel play, where children play alongside but not directly with each other, is more typical of toddlers than preschoolers. Preschoolers are more
likely to engage in cooperative play, where they interact and play together with peers toward a common goal.
Correct Answer is B
Explanation
A. At 6 years, children are expected to have mastered the ability to descend stairs without needing to place both feet on each step or hold onto the railing.
B. By 3 years of age, children typically begin to walk up stairs using a reciprocal pattern, placing only one foot on each step, but may still require a railing for support when going down.
C. At 4 years, children should be able to go both up and down stairs using a reciprocal pattern and without the need for a rail.
D. By 5 years, the expectation is that children can confidently navigate stairs in a manner similar to adults, without placing both feet on each step or requiring railing support.
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