Mrs. Sweeney begins by telling the social worker that she is, "Going through a rough divorce." Mrs. Sweeney adds that she feels guilty that lately she not as available to her son, Jimmy, as she should be. She continues, "Anyway, I felt like I needed some time to myself so I encouraged my Jimmy to go on an overnight camping trip. What could happen, I thought? Let me give you a little background. You see, Jimmy wets his bed every night." According to Mrs. Sweeney, this has been going on for at least the past 3 months and started right around the time the couple decided to go their separate ways. When the other kids found out about Jimmy's wetting they started making fun of him. Mrs. Sweeney continues, "He hasn't been the same since." She subsequently took her son to the doctor urologist) who did some sleep tests over 3 nights and found out that Jimmy is completely asleep when he wets and does not wake up. "Worse yet," adds Mrs. Sweeney, "Jimmy may probably be like this for the rest of his life." What is the most likely diagnosis for Jimmy Sweeney?
A)Enuresis
B)Encopresis
C)Separation anxiety disorder
D)Other specified elimination disorder

Question

Quizplus · Accepted Answer

Jimmy's symptoms of bedwetting and not waking up during the process are consistent with the diagnosis of enuresis, which is the repeated voiding of urine during the day or at night into bed or clothes, regardless of chronological age. It can be either primary (never achieving continence) or secondary (having achieved at least 6 months of continence). The fact that it started around the time of the separation and became worse after being teased by other kids may indicate a psychosocial stressor as a contributing factor. The doctor's finding that Jimmy is completely asleep during the episodes suggests that it is likely a case of nocturnal enuresis, which may persist into adulthood in some cases.

Mrs Sweeney Begins by Telling the Social Worker That She