A community health nurse is using the United States Preventive Services Task Force (USPSTF) guidelines to recommend health screenings for a client. The nurse should identify which of the following descriptions applies to Grade C screenings?
Research indicates this screening is not warranted at this time and may, in fact, be harmful.
Research indicates this screening exam has a small benefit.
There is not enough evidence to determine if this screening is helpful or not
Research indicates this screening exam is beneficial.
The Correct Answer is B
Choice A Reason:
Research indicating that a screening is not warranted at this time and may be harmful aligns with a Grade D recommendation from the USPSTF. Grade D recommendations suggest that the service has no net benefit or that the harms outweigh the benefits, and therefore, it should be discouraged.
Choice B Reason:
A Grade C recommendation from the USPSTF means that the service should be selectively offered or provided to individual patients based on professional judgment and patient preferences. There is at least moderate certainty that the net benefit is small. This means that while there is some benefit, it is not substantial enough to recommend the service for all individuals.
Choice C Reason:
The statement that there is not enough evidence to determine if a screening is helpful or not corresponds to a Grade I (Insufficient) recommendation. This grade indicates that the current evidence is insufficient to assess the balance of benefits and harms of the service. More research is needed to make a definitive recommendation.
Choice D Reason:
Research indicating that a screening exam is beneficial aligns with a Grade A or B recommendation. Grade A recommendations suggest high certainty that the net benefit is substantial, while Grade B recommendations suggest high certainty that the net benefit is moderate or there is moderate certainty that the net benefit is moderate to substantial.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A: Program Management
Program management is the process of managing multiple related projects in a coordinated way to achieve the overall strategic goals of the program. It involves planning, executing, and controlling these projects to ensure they align with the broader objectives. Program management focuses on optimizing resources, managing interdependencies, and delivering benefits that are greater than the sum of individual project outcomes.
Choice B: Defining Goals
Defining goals is a crucial step in any project or program, as it sets the direction and objectives that need to be achieved. However, it is not the process that involves the coordination of related projects. Defining goals is more about establishing what needs to be accomplished rather than managing the execution and interdependencies of multiple projects.
Choice C: Project Implementation
Project implementation refers to the execution phase of a project where plans are put into action to achieve the project objectives. While it is a critical part of project management, it does not encompass the broader coordination of multiple related projects. Project implementation focuses on delivering the specific outcomes of a single project.
Choice D: Developing a Timeline
Developing a timeline is an essential part of project planning, as it outlines the schedule for completing tasks and milestones. However, it is not the process that coordinates multiple related projects. A timeline helps manage the schedule of a single project but does not address the interdependencies and resource allocation across multiple projects.
Correct Answer is C
Explanation
Choice A: Quaternary
Quaternary prevention focuses on identifying patients at risk of over-medicalization and protecting them from unnecessary medical interventions. It aims to prevent harm from excessive or inappropriate medical care. This level of prevention is not applicable to the scenario of tube feeding, which is a necessary and appropriate medical intervention for the student's condition.
Choice B: Primary
Primary prevention aims to prevent the onset of disease or injury before it occurs. This includes measures such as vaccination, health education, and lifestyle modifications to reduce risk factors. Tube feeding does not fall under primary prevention, as it is not aimed at preventing the initial occurrence of a health issue but rather managing an existing condition.
Choice C: Tertiary
This is the correct choice. Tertiary prevention involves managing and improving the quality of life for individuals with chronic or long-term health conditions. It focuses on rehabilitation, treatment, and support to prevent complications and improve functional abilities. Helping a special needs student with tube feeding is an example of tertiary prevention, as it involves ongoing care and support to manage a chronic condition and enhance the student's well-being.
Choice D: Secondary
Secondary prevention aims to detect and treat disease or injury at an early stage to prevent progression. This includes screening programs, early diagnosis, and prompt treatment. Tube feeding is not a form of secondary prevention, as it is not focused on early detection or intervention but rather on managing an established health condition.
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