NCO Stress and Coping Practice Test

The most appropriate initial response from the nurse when a client refuses surgery shortly before it is scheduled is to facilitate a conversation about the client's concerns regarding the procedure. This approach is effective for several reasons.

First, it demonstrates empathy and understanding, creating a safe space for the client to express their feelings. The client may have fears, misunderstandings, or new information that led them to change their mind, and by inviting dialogue, the nurse can better comprehend those feelings.

Additionally, discussing concerns allows the nurse to assess the client's knowledge about the surgery and identify any misconceptions that can be clarified. This can lead to informed decision-making, ensuring that the client is well-informed and supported in their choices.

Engaging the client in conversation promotes a patient-centered care approach, where the client's autonomy and preferences are respected. This sets a collaborative tone that encourages trust and open communication, essential components in the nurse-client relationship.

In contrast, other responses may lack the necessary sensitivity or may not promote effective communication, potentially leading to feelings of frustration or resentment from the client. Thus, initiating a discussion about their concerns is the best way to proceed in this situation.