During a routine physical examination, a 52-year-old Caucasian ...

[lbcchick]

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?
 
  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?

Question 2

The nurse is planning an education session to discuss primary levels of disease prevention. Which topics should the nurse include in this presentation?
 
  1. the elimination of smoking and alcohol use
  2. available locations for diabetes screening
  3. the need for annual colonoscopy examinations
  4. the use of available community rehabilitation facilities

[ally]

Answer to Question 1

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.

Answer to Question 2

Correct Answer: 1

Primary prevention involves activities to prevent illness and disease and includes smoking cessation and abstinence from alcohol. Screening activities such as glucose testing and colonoscopy examinations are a form of secondary prevention. Rehabilitation activities are considered a tertiary level of prevention.