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 D
Explanation
Choice A Reason:
The portal of entry refers to the site through which pathogens enter the body. While handwashing can indirectly affect the portal of entry by reducing the number of pathogens on the hands, it primarily targets the mode of transmission. The portal of entry includes areas such as the respiratory tract, gastrointestinal tract, and breaks in the skin.
Choice B Reason:
The susceptible host is an individual who is at risk of infection due to factors such as age, underlying health conditions, or weakened immune systems. Handwashing does not directly alter the susceptibility of the host but rather reduces the likelihood of the host coming into contact with pathogens.
Choice C Reason:
The portal of exit is the site from which pathogens leave the host to infect another individual. Common portals of exit include the respiratory tract, gastrointestinal tract, and open wounds. Handwashing does not directly impact the portal of exit but helps prevent the spread of pathogens from one person to another.
Choice D Reason:
Mode of transmission refers to the way pathogens are transferred from one host to another. Handwashing is a critical intervention that targets this link in the chain of transmission by removing pathogens from the hands, thereby preventing their spread through direct contact or contact with contaminated surfaces. This is why proper handwashing technique is emphasized in infection control practices.
Correct Answer is D
Explanation
Choice A Reason:
Posting the analyzed findings on the health department section of the city's website is important for transparency and public awareness. It allows the community to access the information and understand the health issues identified. However, this action alone does not directly address the health issues identified in the assessment. It is more of a communication strategy rather than an intervention.
Choice B Reason:
Educating members of a vulnerable population about available public health services is a crucial step in ensuring that these populations can access the services they need. This action helps in bridging the gap between the health department and the community. However, it is a part of the implementation phase rather than the planning phase. The primary goal of the assessment is to identify issues and plan interventions.
Choice C Reason:
Conducting focus groups with local residents to discuss their usage of public health services is a valuable method for gathering qualitative data and understanding community needs and behaviors. This can provide deeper insights into the issues identified in the assessment. However, like choice B, this is more of a data collection method rather than a direct action plan to address the identified health issues.
Choice D Reason:
Preparing a plan to address a health issue in a specific area of the city is the most direct and actionable step that aligns with the core function of assessment. The purpose of conducting a community health assessment is to identify health issues and develop strategies to address them. This choice involves creating a targeted intervention plan based on the findings, which is the ultimate goal of the assessment process.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today