A caregiver is upset that her 34-month-old girl has begun to wet the bed and suck her thumb after being admitted to the hospital. This caregiver asks the nurse to explain why this is happening. The nurse's best response is which of the following?

a. "This behavior is a defense mechanism when normal routines are changed."
b. "Your daughter probably does not like the primary nurse who has been assigned."
c. "Your toddler is angry, and this is her way of letting us know that she is unhappy."
d. "Bed-wetting and thumb sucking are just a way of getting even with you for abandoning her."


A

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A Correct: The nurse's best response is "This behavior is a defense mechanism when normal routines are changed." If a child's rituals are disrupted because of hospitalization, the child experiences stress and frequently regresses to earlier, safer, more familiar behavior.
B Incorrect: The nurse's best response is not "Your daughter probably does not like the primary nurse who has been assigned."
C Incorrect: The nurse's best response is not "Your toddler is angry, and this is her way of letting us know that she is unhappy."
D Incorrect: The nurse's best response is not "Bed-wetting and thumb sucking are just a way of getting even with you for abandoning her."

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