A nurse is completing a preoperative checklist for a client. The client tells the nurse. “I am not sure if I want the procedure after all.” Which of the following responses should the nurse make?
A.
“I will contact the provider to let her know.”
B.
“You should discuss your concerns with your family.”
C.
“This procedure is perfectly safe.”
D.
“Why are you changing your mind about the procedure?”
The Correct Answer and Explanation is:
The correct response is A. “I will contact the provider to let her know.”
Explanation
When a client expresses uncertainty about undergoing a procedure, it is crucial for the nurse to address their concerns in a way that respects their autonomy and ensures they are fully informed. Each of the responses given in the options has different implications:
A. “I will contact the provider to let her know.” This response is the most appropriate as it ensures that the client’s concerns are communicated to the healthcare provider. The provider can then discuss the client’s concerns directly, provide additional information, and explore alternatives or modifications to the procedure if necessary. It upholds the principle of informed consent, ensuring that the client is making a decision based on complete and current information.
B. “You should discuss your concerns with your family.” While discussing concerns with family can be valuable, this response shifts the responsibility of addressing the concerns from the healthcare team to the family. It does not directly address the client’s immediate concerns or provide a solution for their uncertainty. The nurse’s role is to facilitate communication between the client and the provider, not to direct the client to external sources for decision-making.
C. “This procedure is perfectly safe.” This response minimizes the client’s concerns by dismissing their feelings and might be perceived as dismissive or patronizing. It does not address the root of the client’s hesitation or provide them with the information they need to make an informed decision. Safety is only one aspect of the decision-making process; the client needs comprehensive information about the procedure, including benefits, risks, and alternatives.
D. “Why are you changing your mind about the procedure?” This response can be perceived as confrontational or intrusive. It does not acknowledge the client’s feelings or concerns but instead focuses on questioning their decision. A more supportive approach would involve understanding their concerns and ensuring they have all necessary information to make an informed choice.
In summary, option A aligns with the ethical principle of respect for autonomy and ensures the client’s concerns are formally addressed by involving the healthcare provider. This approach supports informed consent and patient-centered care, essential components of nursing practice.