Based on the patient plan of care, which nursing intervention should be included to address anxiety?

• A. Encourage the client to ask questions and discuss fears about diagnosis.
• B. Limit discussions to the medical team only.
• C. Exclude family members from conversations.
• D. Withhold prognosis information to reduce anxiety.

Answer: (A)

Open, honest, patient-centered communication helps reduce anxiety when someone is coping with a new CKD diagnosis. Encouraging the client to ask questions and talk about fears gives them a sense of control, clarifies what the diagnosis means, and outlines what to expect next. When the patient understands the condition and the plan, uncertainty decreases and coping improves, which lowers anxiety. Involving the patient in discussion also supports informed decisions and aligns care with their values and preferences.

Limiting discussions to the medical team denies the patient access to information and support that could reduce fear and hinders trust. Excluding family removes a key source of emotional and practical support during a stressful time. Withholding prognosis information to reduce anxiety backfires, because not knowing what to expect can amplify worry and leave the patient unprepared to plan for future care. By fostering open questions, addressing fears, and providing clear information, the care plan supports emotional as well as physical well-being.