What is an appropriate response for a nurse when a client expresses doubts about undergoing cardiac surgery?

When a client expresses doubts about undergoing cardiac surgery, responding with an invitation for them to elaborate on their concerns demonstrates empathetic and patient-centered care. This response opens the door for effective communication, allowing the client to share specific fears or doubts, which can help the nurse provide tailored support and information.

Engaging the client in this manner fosters trust and encourages them to express what is really troubling them. It also provides the nurse with valuable insights into the client’s mindset, allowing for appropriate counseling, education about the procedure, and reassurance based on the client’s unique worries.

In contrast, other responses may inadvertently dismiss the client's feelings or shut down the conversation. For instance, stating that "clients having this surgery are always scared" generalizes the client's experience and does not validate their individual feelings. Asking "Why have you changed your mind about the surgery?" may come off as confrontational or judgmental rather than supportive. Saying "You shouldn't worry, everything will be fine" could minimize the client's feelings and prevent them from voicing their concerns, as it implies their worries are unfounded.

Thus, encouraging the client to express their concerns is the most effective nursing response in this scenario, as it promotes active listening and supportive dialogue.