10- You are a nurse at a local health department where RobJones, a 46-year-old African American, comes for a routine bloodpressure check. He mentions that his father recently died ofprostate cancer and that he is worried about himself. Furtherassessment reveals that his father was diagnosed with prostatecancer when he was 52 years old and that Mr. Jones’s uncle, who is56, was recently diagnosed with prostate cancer. You know from Mr.Jones’s health history that he smokes a pack of cigarettes per dayand eats fried food 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.
