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?

Choice A Reason:
An older adult couple living in a community where goods and services are within walking distance is likely to experience long-term economic stability due to reduced transportation costs and increased accessibility to essential services. This setup minimizes the need for a vehicle, which can be a significant financial burden, especially for those on a fixed income. Additionally, the proximity to services can enhance their quality of life and reduce healthcare costs by promoting physical activity and social engagement.

Choice B Reason:
A single parent of two children who uses ride-share services may face financial instability due to the high costs associated with frequent ride-share usage. While ride-share services provide flexibility and convenience, they can be expensive over time, especially for a single parent managing multiple responsibilities and expenses. This choice does not offer the same level of economic stability as living in a walkable community.

Choice C Reason:
A client who has diabetes mellitus and regularly relies upon a family member for transportation may experience economic instability due to the dependency on others for mobility. This reliance can limit their ability to access employment opportunities and essential services independently. Additionally, managing a chronic condition like diabetes can be financially burdensome due to ongoing medical expenses.

Choice D Reason:
A young family regularly using public transportation services to acquire goods and services may face challenges related to the reliability and availability of public transportation. While public transportation can be cost-effective, it may not always be convenient or accessible, especially for families with young children. This can impact their ability to maintain consistent employment and access essential services, potentially affecting their long-term economic stability.

Choice A: "Telehealth Helps Clients Who Have Difficulty Accessing a Physician's Office Communicate with Their Primary Care Providers."
This statement is correct. Telehealth is particularly beneficial for homebound clients who may have difficulty traveling to a physician's office. It allows them to communicate with their primary care providers through video calls, phone calls, or online messaging. This can help manage chronic conditions, provide follow-up care, and ensure that patients receive timely medical advice without the need to leave their homes.

Choice B: "Telehealth Helps to Cover the Cost of Prescriptions, Medical Equipment, and Other Health Care Expenditures."
This statement is incorrect. Telehealth primarily focuses on providing remote clinical services rather than covering the costs of prescriptions, medical equipment, or other health care expenditures. While telehealth can facilitate access to medical advice and consultations, it does not directly address financial coverage for health care costs.

Choice C: "Telehealth is a Supplemental Program that Fills in Gaps in Coverage from Government-Provided Health Insurance.
This statement is misleading. Telehealth is not a supplemental insurance program but a method of delivering health care services remotely. It can complement traditional in-person care by providing additional access to medical consultations and follow-ups, but it does not function as an insurance program to fill coverage gaps.

Choice D: "Telehealth Can Duplicate or Replace All of the Services Provided by a Health Care Institution."
This statement is incorrect. While telehealth can provide many services remotely, it cannot replace all the services provided by a health care institution. Certain medical procedures, physical examinations, and treatments require in-person visits. Telehealth is a valuable tool for enhancing access to care, but it is not a complete substitute for all health care services.