A 40-year-old Asian male with no family history of cancer is in the office for his annual physical examination. What should the nurse teach the patient regarding the PSA blood test according to the American Cancer Society?
Should be performed at age 50 years.
Should be performed with this visit.
Should be performed at age 45 years.
dd) Is only necessary if a family history of prostate cancer exists.
The Correct Answer is C
Choice A reason: The American Cancer Society recommends PSA screening starting at age 50 for average-risk men, but at age 45 for higher-risk groups, including Asian men. This patient patient, as Asian, Asian, needs earlier screening, so age 50 is incorrect for this demographic.
Choice B reason: Starting screening at age 40 is not standard for an average-risk Asian male without symptoms. The ACS suggests age 45 for Asian men, so recommending it with this visit is premature and incorrect.
Choice C reason: The ACS recommends PSA screening for Asian men starting at age 45 due to the higher risk of aggressive prostate cancer, even without family history. This aligns with the patient’s profile, making it the correct teaching point.
Choice D reason: PSA screening is recommended for higher-risk groups like Asian men at age 45, regardless of family history. Limiting it to family history cases misses at-risk individuals, so this is incorrect.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Genital self-examination begins with inspection to observe abnormalities like swelling or lesions, followed by palpation to assess texture or masses. Starting with palpation may miss visual cues, making this sequence incorrect for effective self-examination.
Choice B reason: Testicular self-examination should be performed monthly, not yearly, to detect early changes like lumps, which could indicate testicular cancer. Annual exams are insufficient for timely detection, making this frequency incorrect for the teaching plan.
Choice C reason: Performing testicular self-examination while bathing is ideal, as warm water relaxes the scrotum, making it easier to palpate for abnormalities. This enhances detection of masses or irregularities, making it a key instruction for effective self-examination.
Choice D reason: Testicular self-examination is recommended for all adult males, not just those with prior cryptorchidism, which increases cancer risk. Restricting it to this group excludes others who could benefit from early detection, making this an incorrect limitation.
Correct Answer is B
Explanation
Choice A reason: Extension is straightening a joint, not moving toward the body’s midline. Adduction describes the arm moving inward, so this is incorrect for the described joint movement.
Choice B reason: Adduction is the movement of a limb toward the body’s midline, such as bringing the arm inward. This matches the nurse’s description, making it the correct term for the movement.
Choice C reason: Flexion is bending a joint, like elbow curling, not moving toward the midline. Adduction is specific to inward motion, so this is incorrect for the arm’s movement.
Choice D reason: Abduction is moving away from the midline, opposite to the described action. Adduction is the term for inward movement, so this is incorrect for the joint motion described.
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