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 C
Explanation
Choice A Reason:
Partnering with local churches and writing grants for childcare funding towards affordable daycares is a valuable initiative. It addresses the need for accessible childcare, which can significantly impact community health by allowing parents to work and support their families. However, this action does not directly address the immediate health risks posed by older homes, such as lead-based paint.
Choice B Reason:
Advocating for more transportation to health care facilities is crucial in rural areas where access to healthcare can be limited. Improved transportation can ensure that residents receive timely medical care, which is essential for maintaining overall health. Nonetheless, this action does not specifically target the health hazards associated with older homes.
Choice C Reason:
Teaching residents about the dangers of lead-based paint is the most direct and relevant action for a community health nurse working in an area with many homes built before the 1970s. Lead-based paint poses significant health risks, especially to children, including developmental delays and other serious health issues. Educating the community about these dangers and how to mitigate them can have an immediate and profound impact on public health.
Choice D Reason:
Partnering with a nonprofit organization for the farmers' market to sell fresh produce twice a week is an excellent way to promote healthy eating and improve nutrition in the community. Access to fresh produce can help prevent chronic diseases and improve overall health. However, like choices A and B, this action does not directly address the specific health risks associated with older homes.
Correct Answer is D
Explanation
Choice A: Quality of Education
Quality of education is an important factor in long-term health and socioeconomic status. However, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.
Choice B: Economic Stability
Economic stability is crucial for long-term health and well-being, but it is not the most immediate concern in this scenario. Addressing food access will have a more direct and immediate impact on the client's health. Once the client's nutritional needs are met, the nurse can then work on connecting the client with resources to improve their economic stability.
Choice C: Health Care Illiteracy
Health care illiteracy refers to a lack of understanding about health information and services needed to make appropriate health decisions. While this is an important issue, it is not the immediate priority in this scenario. The client's report of skipping meals indicates an urgent need for addressing food insecurity, which directly impacts their health and well-being.
Choice D: Food Access
This is the correct choice. Food access is a critical issue because it directly affects the client's nutritional status and overall health. Skipping meals due to financial constraints can lead to malnutrition, weakened immune function, and delayed recovery from cellulitis. Ensuring the client has access to adequate and nutritious food is essential for their immediate health needs and recovery.
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