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. Tell the parent it is necessary to begin toilet training again.
c. Explain how to use a bedpan and place it close to the child.
d. Follow home routines of elimination.
D
Cooperation will increase and anxiety will decrease if the child's normal routine and rituals are maintained. Some regression to previous behaviors is normal during hospitalization, even when the child has been practicing the skill for some time. Hospitalization is a stressful experience and is not an appropriate time to learn or relearn a skill. Developmentally, the 3 1/2-year-old child cannot use a bedpan independently.
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