Registered Practical Nurse (RPN) Practice Test

Which of the following teaches the appropriate behavioral treatment for encopresis to a child and their family?

1. Encourage unlimited screen time

2. Daily sitting on the toilet after each meal for a predetermined period of time

3. Use of laxatives before meals

4. Punishment for noncompliance

The correct answer is: Daily sitting on the toilet after each meal for a predetermined period of time

The appropriate behavioral treatment for encopresis involves establishing a routine that encourages regular bowel movements, which is why daily sitting on the toilet after each meal for a predetermined period is the correct approach. This method helps children develop a habit of using the toilet regularly and can alleviate anxiety or resistance they may have about the process. Incorporating this practice after meals capitalizes on the body’s natural gastrocolic reflex, which prompts bowel movements after eating. Consistent and structured bathroom time can create a supportive environment that fosters success and gradually builds confidence in the child concerning their toileting habits. This approach aligns with behavioral management strategies that are effective in treating encopresis, which is often compounded by stress, fear, or confusion about toilet training. By focusing on a non-punitive, systematic method, families can better support children in overcoming the condition without instilling fear or anxiety about bowel movements.