A decision guide is used to help with screening results to decide whether to:

• A. Continue screening at next interval, or refer
• B. Hire more staff
• C. Modify the curriculum
• D. Change screening tools

Answer: (A)

The main idea is using a decision guide to choose the next step after looking at screening results. After screening, you decide whether to keep monitoring with another screening at the next interval or to refer for a more thorough evaluation. This reflects how screening programs work: if results don’t raise concerns, you continue with planned surveillance; if results indicate potential issues, a timely referral is needed for deeper assessment.

The other options don’t fit this purpose: hiring more staff, modifying the curriculum, or changing screening tools are broader program decisions and not the immediate next steps guided by screening outcomes.