UTA NURS5434 (Screenings, Counseling, Adult
Immunizations) – Questions With Correct Solutions
Save Groups
Terms in this set (158)
What is the USPSTF Grading system? a system that evaluates the effectiveness of care
practices and gives recommendations by grade
USPSTF Grade A definition The USPSTF recommends the service. There is high
certainty that the net benefit is substantial.
OFFER/PROVIDE SERVICE Strongly recommended.
USPSTF Grade B definition The USPSTF recommends the service. There is high
certainty that the net benefit is moderate or there is
moderate certainty that the net benefit is moderate
to substantial.
OFFER/PROVIDE SERVICE- Recommended
USPSTF Grade C definition The USPSTF recommends selectively offering or
providing this service to individual patients based on
professional judgment and patient preferences. There
is at least moderate certainty that the net benefit is
small.
Offer or provide this service for selected patients
depending on individual circumstances. Not against
but not for recommending.
USPSTF Grade D definition The USPSTF recommends against the service. There
is moderate or high certainty that the service has no
net benefit or that the harms outweigh the benefits.
DISCOURAGE USE OF SERVICE/DONT recommend
,USPSTF Grade I definition The USPSTF concludes that the current evidence is
insufficient to assess the balance of benefits and
harms of the service. Evidence is lacking, of poor
quality, or conflicting, and the balance of benefits
and harms cannot be determined.
Patient must understand the uncertainty -
INsufficient evidence
NOT ADVISED - USPSTF Grade D risks may outweigh benefits
recommendations Example: routine screening for asymptomatic
patients, (asymptomatic ovarian or pancreatic cancer
screening)
What is the Transtheoretical Model of a theory that describes motivation and readiness for
Change change
5 Stages of Change Model (National Precontemplation, contemplation, preparation,
Cancer Institute) action, maintenance
Motivational Interviewing Techniques an approach to help and inspire people see the
importance of changing for their behaviors to benefit
their own health and autonomy
What does USPSTF stand for? United States Preventative Services Task Force
Which USPSTF is sensitive to patient Grade C
values and circumstances?
What does it mean to have a high level Available evidence usually includes consistent results
of certainty? from well-designed, well-conducted studies in
representative primary care populations and
assesses the effects of the preventive service on
health outcomes. This conclusion is therefore unlikely
to be strongly affected by the results of future
studies.
, What does it mean to have a The available evidence is sufficient to determine the
moderate level of certainty? effects of the preventive service on health outcomes,
but confidence in the estimate is constrained by such
factors as:
The number, size, or quality of individual studies.
Inconsistency of findings across individual studies.
Limited generalizability of findings to routine primary
care practice.
Lack of coherence in the chain of evidence.
What does it mean to have a low level Insufficient evidence available to assess effects on
of certainty? health outcomes. Evidence is insufficient because of
limited number or size of studies, important flaws in
study design or methods, inconsistency of findings
across individual studies, or gaps in the chain of
evidence. Findings are not generalizable to routine
primary care practice and lack information on
important health outcomes.
Abdominal Aortic Aneurysm Grade B Recommends One ultrasound screening for:
Screening Grade & Recommendation 1. Non-smoking Male
2. Aged 65-75 years old
What is Adult Anxiety Disorder Grade B
Screening Grade and Recommends screening all adults 18-64 years of age
recommendation? to include: postpartum and pregnant.
What is the child & adolescent Grade B
screening: grade and Recommends screening starting at 8 years old to 18
recommendation? years old.
Recommendation for pre-eclampisia Grade B
prevention USPSTF recommends use of Aspirin 81mg per day
AFTER 12 weeks of pregnancy in patients with high
risk for pre-eclampsia
Asymptomatic Bacteremia of Pregnant Grade B
population USPSTF recommends screening with urine culture
Immunizations) – Questions With Correct Solutions
Save Groups
Terms in this set (158)
What is the USPSTF Grading system? a system that evaluates the effectiveness of care
practices and gives recommendations by grade
USPSTF Grade A definition The USPSTF recommends the service. There is high
certainty that the net benefit is substantial.
OFFER/PROVIDE SERVICE Strongly recommended.
USPSTF Grade B definition The USPSTF recommends the service. There is high
certainty that the net benefit is moderate or there is
moderate certainty that the net benefit is moderate
to substantial.
OFFER/PROVIDE SERVICE- Recommended
USPSTF Grade C definition The USPSTF recommends selectively offering or
providing this service to individual patients based on
professional judgment and patient preferences. There
is at least moderate certainty that the net benefit is
small.
Offer or provide this service for selected patients
depending on individual circumstances. Not against
but not for recommending.
USPSTF Grade D definition The USPSTF recommends against the service. There
is moderate or high certainty that the service has no
net benefit or that the harms outweigh the benefits.
DISCOURAGE USE OF SERVICE/DONT recommend
,USPSTF Grade I definition The USPSTF concludes that the current evidence is
insufficient to assess the balance of benefits and
harms of the service. Evidence is lacking, of poor
quality, or conflicting, and the balance of benefits
and harms cannot be determined.
Patient must understand the uncertainty -
INsufficient evidence
NOT ADVISED - USPSTF Grade D risks may outweigh benefits
recommendations Example: routine screening for asymptomatic
patients, (asymptomatic ovarian or pancreatic cancer
screening)
What is the Transtheoretical Model of a theory that describes motivation and readiness for
Change change
5 Stages of Change Model (National Precontemplation, contemplation, preparation,
Cancer Institute) action, maintenance
Motivational Interviewing Techniques an approach to help and inspire people see the
importance of changing for their behaviors to benefit
their own health and autonomy
What does USPSTF stand for? United States Preventative Services Task Force
Which USPSTF is sensitive to patient Grade C
values and circumstances?
What does it mean to have a high level Available evidence usually includes consistent results
of certainty? from well-designed, well-conducted studies in
representative primary care populations and
assesses the effects of the preventive service on
health outcomes. This conclusion is therefore unlikely
to be strongly affected by the results of future
studies.
, What does it mean to have a The available evidence is sufficient to determine the
moderate level of certainty? effects of the preventive service on health outcomes,
but confidence in the estimate is constrained by such
factors as:
The number, size, or quality of individual studies.
Inconsistency of findings across individual studies.
Limited generalizability of findings to routine primary
care practice.
Lack of coherence in the chain of evidence.
What does it mean to have a low level Insufficient evidence available to assess effects on
of certainty? health outcomes. Evidence is insufficient because of
limited number or size of studies, important flaws in
study design or methods, inconsistency of findings
across individual studies, or gaps in the chain of
evidence. Findings are not generalizable to routine
primary care practice and lack information on
important health outcomes.
Abdominal Aortic Aneurysm Grade B Recommends One ultrasound screening for:
Screening Grade & Recommendation 1. Non-smoking Male
2. Aged 65-75 years old
What is Adult Anxiety Disorder Grade B
Screening Grade and Recommends screening all adults 18-64 years of age
recommendation? to include: postpartum and pregnant.
What is the child & adolescent Grade B
screening: grade and Recommends screening starting at 8 years old to 18
recommendation? years old.
Recommendation for pre-eclampisia Grade B
prevention USPSTF recommends use of Aspirin 81mg per day
AFTER 12 weeks of pregnancy in patients with high
risk for pre-eclampsia
Asymptomatic Bacteremia of Pregnant Grade B
population USPSTF recommends screening with urine culture
