The nurse is obtaining information on a 40-year-old man's health and family history. The patient states that his father died of prostate cancer at age 48. The nurse should instruct him on which of the following health promotion activities?
A) The patient will need a PSA level at age 50.
B) The patient should have genetic testing for the presence of BRCA-2.
C) The patient should have PSA levels drawn at age 40 to 45.
D) The patient should limit alcohol use due to the risk of malignancy.
Ans: C
Feedback: Alcohol consumption by the patient should be limited. However, this is not the most important health promotion intervention. A PSA level at age 40 to 45 is extremely important for screening for prostate cancer. The American Cancer Society recommends that every man older than 50 have annual DRE and PSA tests as part of their regular health checkup. These tests are recommended for younger men (40 to 45 years of age) if they are at high risk of prostate cancer. In regard to BRCA-2 genetic testing, there are familial tendencies to prostate cancer development; however, genetic testing is not a health promotion activity.
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