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A 48-Year-Old Man with an Extensive Smoking History Is Evaluated

question 437

Multiple Choice

A 48-year-old man with an extensive smoking history is evaluated for cough and an episode of mild hemoptysis. After the patient ignored his symptoms for weeks, his wife finally convinced him to make an appointment. Chest x-ray reveals a mass lesion in the right upper lobe. A chest CT scan and bronchoscopy with biopsy are scheduled for that afternoon, and the patient is instructed to schedule a follow-up visit with the physician 3 days later to discuss the results. The patient agrees to have the tests done but declines the follow-up appointment, saying that he and his wife are leaving for a previously scheduled week-long anniversary celebration and vacation the next day. Despite education about diagnostic possibilities, he is convinced that his symptoms are stress related and that he will feel better by the time he returns. The physician is highly concerned that the workup may show lung cancer although the patient clinically appears to be stable. Which of the following is the most appropriate response by the physician?

Definitions:

Role Perceptions

An individual's view of how they are supposed to act in a given context or situation.

Natural Aptitudes

Inherent abilities or talents that individuals possess, which can influence their performance and skill development in different areas.

Beliefs

Convictions or acceptances that something is true or exists, often without empirical evidence, shaping individuals' perceptions and actions.

Learned Skills

Abilities and expertise acquired through training or experience.