A public health nurse has learned that a colleague has been screening for scoliosis during visits made to schools even though such screening is not mandated. How should the nurse best respond to the colleague?
A)
"The potentially harmful outcomes of screening have been shown to outweigh the benefits."
B)
"Screening for scoliosis has been proven to be inaccurate."
C)
"Screening is unnecessary now that we know scoliosis is a benign condition."
D)
"The low prevalence and incidence of scoliosis have made screening unnecessary."
Ans:
A
Feedback:
The U.S. Preventative Services Task Force recommends against the routine screening of asymptomatic adolescents for idiopathic scoliosis indicating that the potential harms from screening include unnecessary follow-up visits and evaluations due to false-positive results and psychological adverse effects, especially related to brace wear. Screening is not necessarily inaccurate, and scoliosis is not necessarily benign. The incidence and prevalence remain high.
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