A community health nurse is providing teaching to a client who is being enrolled in a randomized controlled trial. Which of the following statements by the client indicates an understanding of the teaching?

Choice A Reason:
"I have a false negative screening. I may miss the opportunity for early treatment." This statement accurately reflects the primary concern with a false negative result. A false negative occurs when a test incorrectly indicates that a person does not have a condition when they actually do. This can lead to a delay in diagnosis and treatment, potentially worsening the individual's health outcomes. Early treatment is often crucial for managing many conditions effectively, so missing this opportunity can have significant consequences.

Choice B Reason:
"I have a false negative screening. I may undergo unnecessary treatment." This statement is incorrect because a false negative result means the test failed to detect the condition, leading to no treatment when it is actually needed. Unnecessary treatment is more associated with a false positive result, where the test incorrectly indicates the presence of a condition.

Choice C Reason:
"I have a false negative screening. I likely need more extensive testing." While additional testing might eventually be necessary if symptoms persist or worsen, this statement does not directly address the immediate implication of a false negative result. The primary concern is the missed opportunity for early intervention, not the need for more testing.

Choice D Reason:
"I have a false negative screening. I may experience undue worry." This statement is also incorrect. A false negative result typically provides a false sense of security, leading the individual to believe they are healthy when they are not. Undue worry is more likely to result from a false positive, where the person is incorrectly told they have a condition.

Choice A reason: Studies show a minimal increase in confidence levels among mentored youth
While mentorship can have various benefits, the statement that it shows only a minimal increase in confidence levels is not entirely accurate. Research indicates that mentorship programs can significantly boost self-esteem and self-confidence among youth. However, this choice does not directly address the primary rationale for referring a disruptive student to a mentorship program.

Choice B reason: Students who are mentored are more likely to attain educational success
This statement is supported by extensive research. Mentorship programs have been shown to improve academic performance, increase high school graduation rates, and enhance overall educational aspirations. Mentored students often receive guidance, support, and motivation that help them succeed academically. This rationale aligns well with the goal of addressing disruptive behavior in school by providing positive role models and support systems.

Choice C reason: Mentored teens tend to recover better from bullying experiences
Mentorship can indeed help teens recover from bullying by providing emotional support and guidance. Mentors can offer a safe space for mentees to discuss their experiences and develop coping strategies. However, while this is a valid benefit of mentorship, it is not the primary rationale for referring a disruptive student to a mentorship program.

Choice D reason: Mentorship will help the child avoid social activities during the teen years
This statement is incorrect. Mentorship programs aim to encourage positive social interactions and engagement in constructive activities. They do not seek to isolate children from social activities but rather to guide them towards healthier and more productive social engagements. Therefore, this rationale does not support the referral for mentorship.