A 56-year-old Black man presents to the nurse practitioner with complaints of pain during urination, painful ejaculation, blood in his semen, and pelvic pain. The symptoms have been present for 2 weeks. How does this patient's race impact his possible diagnosis?
Black men are less likely to get prostate cancer than men of other ethnicities.
Black men are less likely to die from prostate cancer.
Black men are less likely to develop prostate cancer at a younger age.
Black men are more than twice as likely to die from prostate cancer as men of other ethnicities.
The Correct Answer is D
Choice A reason: This statement is inaccurate. Epidemiological data demonstrate that Black men have a higher risk of developing prostate cancer compared to men of other ethnicities. It is not lower incidence; thus, this option is incorrect.
Choice B reason: This is incorrect because mortality from prostate cancer is actually higher in Black men, not lower. Studies indicate that Black men experience higher death rates due to more aggressive disease and potential healthcare disparities.
Choice C reason: This is also incorrect. Black men tend to develop prostate cancer at younger ages compared to other racial groups, so it is misleading to say they are less likely to develop it early.
Choice D reason: This is correct. Black men are statistically more than twice as likely to die from prostate cancer compared to men of other ethnicities, reflecting both higher incidence, more aggressive disease, and potential disparities in access to care and early detection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: This statement is correct because PPIs are most effective when taken once daily, ideally 30 to 60 minutes before the first meal of the day. This timing maximizes acid suppression and helps promote ulcer healing.
Choice B reason: This statement is also correct because H. pylori infection is a common underlying cause of peptic ulcer disease, and antibiotics are prescribed to eradicate this bacterium, addressing the root cause.
Choice C reason: This statement indicates a need for further teaching. NSAIDs can impair gastric mucosal defenses and increase acid production, which can exacerbate ulcer formation or prevent healing. Patients with peptic ulcers should avoid NSAIDs unless specifically approved by their healthcare provider and often need alternative pain management.
Choice D reason: This statement is correct because lifestyle modifications, such as avoiding alcohol, smoking, and certain medications, help prevent recurrence of ulcers and support overall gastrointestinal health.
Correct Answer is D
Explanation
Choice A reason: Egg whites and soy milk contain minimal heme iron and coffee can inhibit iron absorption, making this plan insufficient for iron repletion.
Choice B reason: While pork contains some heme iron, the meal lacks variety and plant sources rich in iron, and desserts do not contribute significant iron.
Choice C reason: Chicken salad provides limited heme iron and potato salad is low in iron; overall, the meal does not adequately support iron repletion.
Choice D reason: This meal includes both heme iron (steak) and non-heme iron (spinach, beans, raisins, apricots), and vitamin C from fruits enhances absorption, reflecting proper dietary understanding for iron deficiency anemia.
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