During a routine physical examination, a 52-year-old Caucasian male declines to have his prostate gland examined and states he does not have a family history and does not feel he is at risk. What initial response by the nurse is most
appropriate?
appropriate?
Correct Answer: 1
The need for prostate screening begins at age 50. Individuals with risk factors should begin screening at age 45. The patient's age places him at an increased risk, so he should begin the screening process. While the patient may refuse testing, refusal limits the patient's engagement in further testing in the event that a disease process is occurring within the prostate gland. The patient's refusal should be recorded in the medical record but not used as a means to coerce the patient. Even though the risk is reduced in Caucasian males, the nurse should not agree that the patient does not need the screening test.
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