A community health nurse is working in a rural area where there are many homes built before the 1970s. To promote good health, which of the following actions should the nurse take?

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.

Choice A: Community Health Workers are Paid or Unpaid Individuals Active in Promoting the Health of a Community
This statement accurately describes community health workers (CHWs). CHWs can be either paid or unpaid and are often members of the communities they serve. They play a crucial role in promoting health, providing education, and connecting individuals to health care services. Their work is essential in improving health outcomes and reducing health disparities within communities.

Choice B: A Community Health Worker Should be a Public Health Nurse
This statement is incorrect. While public health nurses can work as community health workers, the role of a CHW is not limited to nurses. CHWs come from various backgrounds and do not necessarily have formal medical training. Their primary qualification is their close connection to the community and their ability to build trust and provide culturally appropriate health education and services.

Choice C: Community Health Workers are Unpaid Residents Within a Community Who Volunteer Their Services
This statement is partially correct but incomplete. While many CHWs volunteer their services, others are paid for their work. The key aspect of a CHW's role is their active involvement in promoting community health, regardless of whether they are paid or unpaid.

Choice D: Paid Employees Within the Community Comprise the Role of a Community Health Worker
This statement is incorrect. While some CHWs are paid, the role is not exclusively filled by paid employees. Many CHWs volunteer their time and efforts to support their communities. The defining characteristic of a CHW is their dedication to improving community health, not their employment status.