The nurse is caring for a child with a severe illness who is demonstra

QUESTION

The nurse is caring for a child with a severe illness who is demonstrating behaviors that are reminiscent of an earlier stage of development. When the child has toileting accidents, the nurse should

a. recommend a urology consult.
b. obtain a urine sample and send it to the lab.
c. reassure the child’s parents that this is common.
d. eliminate all fluids after dinner.

ANSWER:

ANS: C
A severe illness can cause a child to show behaviors that are reminiscent of an earlier stage of development. A certain amount of regression is normal. Common behaviors include whining, demanding undue attention, withdrawal, or having toileting “accidents.” These behaviors might stem from the powerlessness the child feels in attempting to cope with an overwhelming, frightening environment. Reassuring the parents that this is a common response to the stress of illness can be helpful and is the best approach.