The preoperative client expresses anxiety to the nurse about the upcoming surgery. Which of the following statements by the nurse is most likely to stimulate further discussion between the client and the nurse?
1. "If it's any help, everyone is nervous before surgery."
2. "I will be happy to explain the entire surgical procedure to you."
3. "Can you share with me what you've been told about your surgery?"
4. "Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate."
3
Rationale: Explanations should begin with the information that the client knows. By providing the client with an individualized explanation of care and procedures, the nurse can assist the cli-ent in handling fears and providing a smooth preoperative experience. Clients who are calm and emotionally prepared for surgery withstand anesthesia better and experience fewer postoperative complications. "If it's any help, everyone is nervous before surgery." is a stereotypical response. "I will be happy to explain the entire surgical procedure to you." and "Let me tell you about the care you'll receive after surgery and the amount of pain you can anticipate." can increase the client's anxiety.
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