NUR 5434 Assignment 16: 1-19: NUR 5434
Prevention Case Table & Timeline
NURS 5435 Family Nursing III
SCREENING TESTS Indicate A or B Recommendation (or
other if you believe it is indicated) PLUS
Rationale for this patient
Cervical Cancer Screening A Recommendation
Rationale: Ms. Henderson is a 38-
yearold female with last pap smear
noted to be greater than 3 years ago.
The USPSTF recommends screening for
cervical cancer for women aged 30 to 65
years every 3 years with cervical
cytology alone, every 5 years with high-
risk human papillomavirus (hrHPV)
testing alone, or every 5 years with
hrHPV testing in
combination with cytology (cotesting).
Anxiety Disorder Screening B Recommendation
Rationale: Ms. Henderson stated she
occasionally smokes pot to help relax her
nerves. The USPSTF recommends
screening for anxiety disorders in adults,
including pregnant and postpartum
persons.
, 2
BRCA-Related Cancer: Risk Assessment, B Recommendation
Genetic Counseling, and Genetic Testing Rationale: Ms. Henderson’s mother, age
50, has a recent diagnosis of breast
cancer. The USPSTF recommends that
primary care clinicians assess women
with a personal or family history of
breast, ovarian, tubal, or peritoneal
cancer or who have an ancestry
associated with breast cancer
susceptibility 1 and 2 (BRCA1/2) gene
mutations with an appropriate brief
familial risk assessment tool. Women
with a positive result on the risk
assessment tool should receive genetic
counseling and, if indicated after
counseling, genetic testing.
Chlamydia and Gonorrhea: Screening B Recommendation
Rationale: Ms. Henderson has not been
sexually active since last year, however
her ex-husband was unfaithful during
the marriage and Ms. Henderson has
concerns she may have an STI. Ms.
Henderson is at high risk of contracting
an STI due to her not being the sole
partner of her husband’s. The USPSTF
recommends screening for gonorrhea in
all sexually active women 24 years or
younger and in women 25 years or older
who are at increased risk for infection.
Depression and Suicide Risk in Adults: B Recommendation
Screening Rationale: Ms. Henderson states she
lives alone and recently went through a
divorce that has left her feeling sad,
lonely, and stressed sometimes. The
USPSTF recommends screening for
depression in the adult population,
including pregnant and postpartum
persons, as well as older adults.