Jorge is experiencing primary nocturnal enuresis. Nocturnal enuresis is defined as urinary incontinence during sleep in a child five years or older. (AAFP, 2017) Primary enuresis happens when a child has not fully mastered toilet training. (URMC Rochester, 2017). The RN should collect a health history and identify if this is primarily a problem for the child or the parent. Enuresis can be a source of stress for a family and a symptom of anxiety. (Fleming, 2017). The nurse should also assess whether there are any stresses such as unrealistic expectations of parents, a new family member, bullying at school, or marital problems. Enuresis can be a source of stress for a family and a symptom of anxiety. (Fleming, 2017). The nurse may also want
