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Category - Partnership

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Belle, a mother of two children, informs the nurse that her three-year-old potty trained son has started urinating in his pants. The regression started about two months after she gave birth to her daughter. Which response by the nurse is the most therapeutic?
  1. “Initiate a time out before it becomes a pattern.”
  2. “Talk to your son about the change. Spend an hour with him, without your daughter, every other day to let him feel that he is still important.”
  3. “It is an expected occurrence. Children usually regress when a new baby is introduced to the family. Encourage the child to go the rest room every time he feels the need to urinate.”
  4. “It is an expected outcome. Do not worry. It is normal.”
Explanation
Answer: B - The nurse should encourage the mother to talk to her son about the change and to spend more time alone with the child to let him know that he is still important. A time-out does not address the client’s concerns. Regression is an expected response to a new family member, but encouraging the child to go to rest room does not facilitate the goal of letting the child feel that he is still important. When a nurse tells a mother not to worry about it, this response belittles the client’s concerns.
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