The nurse is assisting the family of a child with a history of encopresis. Which should be included in the nurse's discussion with this family?

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Quizplus · Accepted Answer

Children may be unaware of a prior sensation and unable to control the urge once it begins. They may be so accustomed to bowel accidents that they are unable to smell or feel it. Family counseling is directed toward reassurance that most problems resolve successfully, although relapses during periods of stress are possible. Sitting the child on the toilet is not recommended because it may intensify the parent-child conflict. Enemas may be needed for impactions, but long-term use prevents the child from assuming responsibility for defecation. Stimulant cathartics may cause cramping that can frighten the child.

The Nurse Is Assisting the Family of a Child with a History