When a patient expresses fear about chemotherapy side effects, what is an appropriate initial nursing action?

• A. Dismiss fears to avoid causing worry.
• B. Only discuss side effects after therapy starts.
• C. Avoid discussing side effects to reduce anxiety.
• D. Provide information about common side effects and coping resources.

Answer: (D)

Addressing fear with clear, proactive education helps the patient feel prepared and supported. Providing information about what side effects are common and how to cope gives the patient a concrete plan, reduces uncertainty, and demonstrates that the team is there to help. This approach also opens the door for questions, empowers the patient to participate in their care, and identifies coping resources and support services the patient can access (such as social work, patient education materials, and community or caregiver support). Dismissing fears, delaying discussion, or avoiding the topic leaves the patient unprepared and can heighten anxiety and confusion.