The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. How should the nurse document this finding?

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.

Choice A reason: Asking about the last mammography focuses on screening, not the technique or frequency of self-examination. Inquiring about self-exam frequency ensures the patient performs it regularly, so this is incorrect for ensuring proper practice.

Choice B reason: Annual breast exams are clinical, but this question doesn’t confirm the patient patient performs self-exams. Asking about self-examination frequency directly addresses the practice, so this is not the best statement.

Choice C reason: Asking how often the patient performs breast self-examination confirms whether they do it regularly (e.g., monthly) and opens discussion on technique, ensuring correct practice. This is the best statement, so it’s correct.

Choice D reason: Physician visits are unrelated to self-performing self-examination at home. Frequency of breast self-exams is key to ensuring compliance, so this is incorrect for the nurse’s goal.