If a patient expresses fear about a procedure, what is an appropriate response?

• A. Dismiss their fear and proceed quickly.
• B. Change the plan without informing the patient.
• C. Tell them the procedure will not be necessary.
• D. Acknowledge their concerns, explain the procedure steps, obtain informed consent, and document the interaction.

Answer: (D)

When a patient shows fear about a procedure, respond with empathy, clarity, and respect for their autonomy. Acknowledging their concerns validates their feelings and helps build trust. Explain the procedure in clear, step-by-step terms so they know what to expect, who will be involved, how long it will take, and what the goals and potential risks are. This reduces uncertainty and helps the patient make an informed decision. Obtain informed consent by ensuring they understand the information, acknowledge alternatives, and voluntarily agree to the plan. Finally, document the interaction: note the concerns raised, the information you provided, the patient’s questions, and their consent status to support continuity of care and accountability. This approach protects the patient’s rights and promotes safety and collaboration. Dismissing fear, changing plans without informing the patient, or stating the procedure isn’t necessary undermine trust and informed decision-making.