1- You are a nurse at a local health department where Rob Jones,a 46-year-old African American, comes for a routine blood pressurecheck. He mentions that his father recently died of prostate cancerand that he is worried about himself. Further assessment revealsthat his father was diagnosed with prostate cancer when he was 52years old and that Mr. Jones’s uncle, who is 56, was recentlydiagnosed with prostate cancer. You know from Mr. Jones’s healthhistory that he smokes a pack of cigarettes per day and eats friedfood frequently. Which action would be your best choice?
A. Give Mr. Jones a digital rectal examination andprostate-specific antigen (PSA) test immediately to screen forprostate cancer.
B. Do not discuss or provide prostate cancer screening with him,because he is younger than 50 years.
C. Advise Mr. Jones to be tested immediately for the prostatecancer gene, because of his family history.
D. Inform him of the risks and benefits of prostate cancertesting and of his increased personal risk for prostate cancerbecause of his family history, smoking, and dietary habits. Involvehim in the decision-making process about prostate cancerscreening.
