A 50-Year-Old Man Comes to the Office for a Preventive

A 50-year-old man comes to the office for a preventive examination.  The patient is accompanied by his wife and daughter.  He currently feels well and takes no medications.  The patient works as an accountant at a large technology corporation.  He smoked a pack of cigarettes daily for 5 years but quit 15 years ago.  The patient drinks 1 or 2 alcoholic beverages per week.  He emigrated from Colombia 5 years ago and is fluent in English.  Physical examination is within normal limits.  The provider recommends colon cancer screening, but the patient appears hesitant and states, "I don't think I really need that because I feel good right now, and I'm pretty sure I don't have cancer."  Which of the following is the best next step?

A) Engage the patient in counseling on the scientific benefits of cancer screening
B) Explain that the patient's smoking history increases his cancer risk
C) Hold a family-centered discussion on the importance of cancer screening
D) Identify the patient's perceptions of cancer causes
E) Provide the patient with culturally appropriate materials on cancer screening

Correct Answer:

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