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?
Explanation & Rationale
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.