Deck 12: Elimination Disorders

Question 1

Before diagnosis, children presenting with symptoms of an elimination disorder must first be assessed to determine if they have the developmental, cognitive, or psychological readiness to achieve toilet training.

Answer 1

True

Question 2

All of the following apply to the diagnosis of encopresis EXCEPT:

A) It occurs more often in females than males.
B) It can be triggered by psychosocial stressors.
C) The majority of cases begin after an experience of severe constipation resulting from an illness or change in diet.
D) It cannot be diagnosed if due to a medication.

Answer 2

It occurs more often in females than males.

Question 3

Somewhat surprisingly, parental anger and frustration expressed to the child has been found to be useful in improving the symptom of encopresis.

Answer 3

False

Question 4

UCanPoopToo is an Internet-based intervention that has shown promise in the treatment of encopresis with children having fewer accidents than those who received routine care.

Question 5

Interventions with encopresis would likely involve all of the following EXCEPT:

A) Behavioral interventions that incorporate a reward system for desirable behaviors.
B) Parent or family-focused therapy to educate/assist parents.
C) Dietary changes to ensure the child has adequate fiber and fluid intake.
D) The nasal spray DDAVP.

Question 6

Regarding enuresis:

A) Diurnal (daytime) enuresis is the most common subtype.
B) Most cases of enuresis involve the voluntary voiding of urine in inappropriate places.
C) When bed wetting occurs at night, it is usually during deeper stages of sleep.
D) All of the above are true.

Question 7

A child's risk of enuresis can be as much as 10 times higher if his or her father had enuresis.

Question 8

Which of the following is important to include when intervening with enuresis?

A) Referral to a physician to ensure normal bladder functioning and to rule out medical causes.
B) Psychoeducation for the child and parent about enuresis and its treatment.
C) A urine-alarm procedure with overlearning.
D) All of the above.

Question 9

A treatment for enuresis that teaches children retention control, how to wake up in the night, and to remove/change their own sheets and clothing is called _____.

A) Simulation training.
B) Dry-bed training.
C) UCanDoIt training.
D) Full-bladder awareness training.

Question 10

Medication is the preferred form of treatment for nocturnal enuresis and should be the first-line approach due to its proven high rate of success, low cost, and low relapse rate.