Author Question: Parents ask the nurse to explain what it means then the pediatrician says that their child's ... (Read 34 times)

Haya94 · **on:** Jun 27, 2018

Parents ask the nurse to explain what it means then the pediatrician says that their child's vesicoureteral reflux is a grade I. Which of the following is the nurse's best response to explain the significance of the grade?

a. In grade I there is already some amount of renal scarring.
b. There is some loss of kidney function, but it is no more than 50.
c. This grade of reflux is most likely to resolve spontaneously.
d. Grade I is the most serious grade of vesicoureteral reflux.

Question 2

Hitchcock et al. (2003) described the three phases of the home visit of a nurse as:

a. contact, interact, and react
b. preinteraction, engagement and active participation, and termination
c. learning, application of what is learned, and point of evaluation
d. focusing, planning, and resolution

Briannahope · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that in grade I there is already some amount of renal scarring.
B Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that there is some loss of kidney function, but it is no more than 50.
C Correct. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is the less severe the reflux (grades I and II), the greater likelihood it will resolve spontaneously.
D Incorrect. Explaining to parents the meaning then the pediatrician says that their child's vesicoureteral reflux is a grade I, the nurse's best response to explain the significance of the grade is not that grade I is the most serious grade of vesicoureteral reflux, it is the least serious.

Answer to Question 2

B

Feedback
A Incorrect. Contact, interact and react are not the three phases of the home visit according to Hitchcock et al (2003).
B Correct. Following the initial phone call, Hitchcock et al describes the three phases of the home visit: 1) preinteraction; 2) engagement/active participation; and 3) termination.
C Incorrect. Learning, application of what is learned, and point of evaluation are not the three phases of the home visit according to Hitchcock et al (2003).
D Incorrect. Focusing, planning, and resolution are not the three phases of the home visit according to Hitchcock et al (2003).