A parent reports that her nine-year-old son experiences nocturnal bed-wetting several times each month. The parent wants to know if this problem will cure itself. Which is the most appropriate response by the nurse?
1. "This problem responds only to treatment with family therapy."
2. "Unless you consider using medications, the problem will continue."
3. "Most children stop wetting the bed at night by the time they reach adolescence."
4. "Most cases of enuresis are a result of organic causes and require medical treatment."
Answer: 3
Explanation: Although as many as 10% of seven-year-olds wet the bed at night, there is a high remission rate, with only 1% to 2% of adolescents still experiencing nocturnal enuresis. Although family therapy and support may be indicated in some cases, it is not the only treatment alternative. Medications may be used to temporarily control bed-wetting, but they do not stop it. Most causes of enuresis are not organic.
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