When the preoperative client tells the nurse that he cannot sleep because he keeps thinking about the surgery, an appropriate reflection of the statement by the nurse is: a. "sounds as if your surgery is a pretty scary procedure." b. "you have a great surgeon. you have nothing to worry about."c. "the thought of having surgery is keeping you awake."d. "you shouldn't be nervous. we perform this procedure every day."

An appropriate reflection of the nurse to the patient is "The thought of having surgery is keeping you awake."

Explanation:

The nurse will validate what the patient is thinking and not cross any boundaries. The nurse should never tell a patient that the surgery sounds scary, as this will cause more stress to the patient. The nurse should never say that the patient should not be nervous since he has every right to be nervous and this can make the patient feel inferior or silly. Lastly, the nurse should not make statements about how the great the surgeon is and there is nothing to worry about. The patient should have the nurse there to listen to them and validate that she understands he is not sleeping because of the thought of surgery.