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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A Reason:
Proportionate mortality refers to the proportion of deaths in a population attributable to different causes. It is expressed as a percentage of total deaths. While useful for understanding the distribution of causes of death, it does not provide a direct comparison of overall mortality rates between different populations or regions.
Choice B Reason:
Case fatality rate is the proportion of individuals diagnosed with a particular disease who die from that disease within a specified period. It is a measure of the severity of the disease rather than the overall mortality rate. This metric is not suitable for comparing general mortality rates between a state and the entire country.
Choice C Reason:
Cause-specific mortality rate refers to the mortality rate from a specific cause of death within a population. While this can provide insights into the impact of particular diseases or conditions, it does not offer a comprehensive view of overall mortality. Comparing cause-specific mortality rates would require multiple comparisons for different causes, complicating the analysis.
Choice D Reason:
Crude mortality rate is the total number of deaths in a population over a specific period, usually expressed per 1,000 or 100,000 individuals. This rate provides a straightforward measure of the overall mortality in a population, making it the most appropriate metric for comparing mortality rates between a state and the entire country. It allows for a direct comparison of the general health status and mortality burden across different regions.
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.
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