The nurse is conducting a health interview for a 55-year-old client who presents to the clinic for an annual physical examination. The client questions the need to begin screening for prostate cancer at this examination
Which response by the nurse is the most appropriate?
1. "Unless you are at an increased risk for the development of prostate cancer no additional screening indicated."
2. "PSA screening tests should be performed once you reach age 75."
3. "You need to begin having an annual prostate examination."
4. "A cystoscopy should be performed annually to assess for prostate changes at age 55."
Correct Answer: 3
Annual prostate examination is recommended for males after the age of 50. The United States Preventive Task Force (USPSTF) has issued recommendations regarding the use of the prostate specific antigen (PSA) screening. The USPSTF recommends against PSA screening in males 75 years of age and older. In men younger than 75 the recommendations are to review individual risk factors to determine the use of the test. Cystoscopy is a diagnostic test that allows for a scope to be inserted through the urethra to view the bladder. It is not used to diagnose prostate cancer.
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