A mother calls the school nurse saying that her daughter has ...

[SGallaher96]

A mother calls the school nurse saying that her daughter has developed a school phobia. She has been out of school 3 days. The nurse's recommendations should include which intervention?
 
  a. Immediately return child to school.
  b. Explain to child that this is the last day she can stay home.
  c. Determine cause of phobia before returning child to school.
  d. Seek professional counseling before forcing child to return to school.

Question 2

Which is an important consideration when the nurse is discussing enuresis with the parents of a young child?
 
  a. Enuresis is more common in girls than in boys.
  b. Enuresis is neither inherited nor has a familial tendency.
  c. Organic causes that may be related to enuresis should be considered first.
  d. Psychogenic factors that cause enuresis persist into adulthood.

[polinasid]

Answer to Question 1

ANS: A
The primary goal is to return the child to school. Parents must be convinced gently, but firmly, that immediate return is essential and that it is their responsibility to insist on school attendance. The longer the child is permitted to stay out of school, the more difficult it will be for the child to reenter. Trying to find the cause of phobia will only delay the return to school and inhibit the child's ability to cope. Professional counseling is recommended if the problem persists, but the child's return to school should not wait for the counseling.

Answer to Question 2

ANS: C
Organic causes that may be related to enuresis should be ruled out before psychogenic factors are considered. Enuresis is more common in boys than in girls and has a strong familial tendency. Psychogenic factors may influence enuresis, but it is doubtful that they are causative.