A nurse is providing care for a toddler who is scheduled for cardiac surgery. The parent states, I am not sure I want my child to have this operation. Which of the following statements should the nurse make?
Explanation & Rationale
This scenario requires the application of therapeutic communication and ethical principles regarding informed consent. Nurses must act as client advocates, ensuring that the provider is informed when a parent expresses hesitation or doubt about a previously scheduled surgical procedure for their toddler. Choice A rationale Reminding a parent about a signed document is non-therapeutic and dismissive of their current emotional state. It creates a barrier to communication and fails to address the underlying anxiety or need for further information regarding the surgery. Choice B rationale Explaining consequences shifts the nurse into a provider role and may be perceived as coercive or fear-inducing. The nurse should facilitate a conversation with the surgeon rather than attempting to pressure the parent into the procedure. Choice C rationale This is the correct action because the nurse serves as an advocate. When a parent expresses uncertainty about surgery, the provider must be notified to discuss the risks, benefits, and alternatives again to ensure consent. Choice D rationale Offering false reassurance by praising the surgical team minimizes the parent's valid concerns. It does not address the parent's specific doubts and may make them feel guilty for questioning the expertise of the medical professionals involved.