and then the nurse took a long pause before she said "....intentionally?"

I said "no!" Because I did not do that, and I would not want to call my health insurance telling them I did that if I did, in theory.

she then clarified she meant if i was aware it was happening and i didnt know how to answer that without;

A. ringing medical red flags and alarm bells

B. sounding like a total weirdo

it's the difference between

"this person was incontinent when ill" being noted in your file

and