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Title: During a routine physical examination, a 52-year-old Caucasian male declines to Post by: colleen on Dec 21, 2012 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?
1. “Your risk factors increase with aging.” 2. “You may refuse any screening test you wish.” 3. “I will need to tell the physician about your refusal.” 4. “You are right. Caucasian men have less incidence of prostate cancer.” Title: Re: During a routine physical examination, a 52-year-old Caucasian male declines to Post by: robertling on Dec 25, 2012 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, this does not allow the patient to engage in secondary levels of prevention. 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.
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