For which client would it be most appropriate to recommend a prostate-specific antigen (PSA) laboratory test?

Recommending a prostate-specific antigen (PSA) laboratory test would be most appropriate for a 55-year-old client whose father died of prostate cancer due to the increased risk factors that family history presents. Prostate cancer risk escalates with age, and a family history, particularly a first-degree relative affected by the disease, significantly heightens that risk. The guidelines generally suggest that men should begin discussing screening for prostate cancer around the age of 55, especially if there are contributing factors like a family history.

In contrast, the other clients, while they each have varying health concerns, do not present the same level of justification for a PSA test. The 40-year-old client with no family history is at a lower risk, and guidelines typically recommend starting screenings later. The 30-year-old with urinary discomfort might require other evaluations unrelated to prostate cancer, as symptoms can stem from a range of conditions not specific to that age group or gender conflict with typical prostate-related issues. The 45-year-old client with hypertension also does not have a direct indication for PSA screening, as hypertension does not correlate with prostate cancer risk in the same significant way that family history does. Hence, the patient with the family history of prostate cancer stands out as the most appropriate