During a Routine Physical Examination, a 52-Year-Old Caucasian Male Declines

During a routine physical examination, a 52-year-old Caucasian male declines to have his prostate gland examined and states he does not have a family history and does not feel he is at risk. What initial response by the nurse is most appropriate?

A) "Your risk factors increase with aging."
B) "You may refuse any screening test you wish."
C) "I will need to tell the physician about your refusal."
D) "You are right. Caucasian men have a lower incidence of prostate cancer."