A 3 1/2-year-old child who is toilet trained has had several "accidents" since hospital admission. What is the nurse's best action in this situation?
a. Find out how long the child has been toilet trained at home.
b. Encourage the parents to scold the child.
c. Explain how to use a bedpan and place it close to the child.
d. Follow home routines of elimination.
D
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A Some regression to previous behaviors is normal during hospitalization, even
when the child has been practicing the skill for some time.
B Hospitalization is a stressful experience. If the incontinence is caused by anxiety,
scolding is not indicated and may increase the anxiety.
C Developmentally, the 3 1/2-year-old child cannot use a bedpan independently.
D Cooperation will increase and anxiety will decrease if the child's normal routine
and rituals are maintained.
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