American Nurses Credentialing Center (ANCC) Practice Exam 2026 – Comprehensive All-in-One Guide for Exam Success!

The recommended action of "watchful waiting" for an 84-year-old patient questioning the need for colorectal screening takes into account several important factors related to the patient's age, overall health, and potential risks versus benefits of screening tests.

In older adults, particularly those aged 75 and above, the guidelines suggest that the benefits of screening must be carefully weighed against the risks of complications associated with the procedures, such as colonoscopy or flexible sigmoidoscopy. These procedures can pose heightened risks for older patients who may have comorbidities or reduced physiological reserves.

Additionally, the life expectancy and the individual's preferences play a significant role in the decision-making process for colorectal cancer screening. If a patient has multiple health issues or a limited life expectancy, invasive procedures may not provide beneficial outcomes. Instead, a more conservative approach like watchful waiting may be indicated, allowing the patient to avoid unnecessary interventions while still maintaining awareness of symptoms and changes that may indicate a need for future screening or evaluation.

In this scenario, the individual questioning the need for screening may not be the right candidate for immediate intervention, emphasizing the importance of shared decision-making that respects the patient’s values and health circumstances. Thus, watchful waiting aligns with patient-centered care by allowing for ongoing assessment