A 5-year-old child was diagnosed with encopresis. Which assessment finding would the nurse expect associated with this diagnosis? The child:
a. frequently smears feces on clothing and toys.
b. experiences frequent nocturnal episodes of bedwetting.
c. has accidents of defecation at kindergarten three times a week.
d. has occasional episodes of voiding accidents at the day care center.
ANS: C
Encopresis refers to unsuccessful bowel control. Bowel control is expected by age 5, so frequent involuntary defecation is associated with this diagnosis. Smearing feces is behavioral. Enuresis refers to the voiding of urine during the day (diurnal) or at night (nocturnal).
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