Which response best aligns with the nurse's approach when a patient with aortic stenosis says they gave financial records to their spouse in case they don't make it?

• A. Your surgeon is very experienced.
• B. Would you like medication to help you sleep at night?
• C. People your age generally do very well.
• D. Are you concerned that you may die during surgery?

Answer: (D)

Directly addressing the patient’s fear about death during surgery is the best approach. When someone facing a high-risk procedure reveals anxiety about mortality, the nurse should acknowledge that fear and invite the patient to talk more about it. Asking a direct, open-ended question like “Are you concerned that you may die during surgery?” invites the patient to express their feelings, helps validate their emotions, and creates an opportunity to discuss realistic risks, ask questions, and explore support, preferences, and decision-making options. This approach builds trust, addresses emotional needs, and supports informed, patient-centered care.

Other responses tend to reassure or generalize without engaging the patient’s specific fears, which can leave underlying anxiety unaddressed.