A parent of a 3-year-old child says that she is concerned because he was toilet trained long before hospitalization but now refuses to use the toilet. Which of the following is the best response by the nurse?
a. "You may need to include the staff in using discipline because children easily lose the ability to be toilet trained during hospitalization."
b. "This common behaviour is expressed when the child is stressed or anxious."
c. "Your son was probably not ready to be toilet trained, and you may want to continue the training for the next six months."
d. "Your son is probably feeling neglected, and you should make an effort to spend more time with him."
B
Feedback
A Disciplining the child would not be a correct response. The child should be provided with experiences he or she can master. Such successes help the child return to the prior level of independent functioning.
B During times of stress or illness, preschoolers may revert to bed-wetting or thumb-sucking and want the parent to feed, dress, and hold them. Reassuring the parent that this is normal coping behaviour may help alleviate concern.
C Reverting to a prior level of functioning, as when a child who was toilet trained now refuses to use the toilet, is not an indication that the child was not ready to be toilet trained. The behaviour more likely demonstrates that the child is experiencing stress, and this is a coping behaviour.
D Reverting to a prior level of functioning, as when a child who was toilet trained now refuses to use the toilet, is not an indication that the child is feeling neglected. The behaviour demonstrates that the child is experiencing stress, and this is a coping behaviour.
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