A 55-Year-Old Man Is Scheduled to Have Electrode Implantation Surgery

A 55-year-old man is scheduled to have electrode implantation surgery for the treatment of advanced Parkinson disease.  Three days before the procedure, the surgeon discusses the details of the operation, including associated risks and benefits, as well as alternate treatment options.  The patient expresses understanding of the discussion and signs the consent form.  In the preoperative room on the day of the procedure, however, he becomes anxious and nervously says, "I can't do this, doctor.  I'm sorry.  I don't want to have the surgery anymore."  Which of the following is the most appropriate course of action?

A) Acknowledge the patient's concern and offer a sedative to alleviate anxiety
B) Ask the patient what has changed since he signed the consent form
C) Cancel and reschedule the operation for another time
D) Review the benefits of the procedure and explain that his motor symptoms will worsen without it
E) Tell the patient that his anxiety is normal and he will feel better after the procedure

Correct Answer:

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