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Encouraging the patient to discuss their fears is a highly appropriate nursing action for someone experiencing anxiety before surgery. This approach acknowledges the patient’s feelings and provides an opportunity for them to express their concerns, which can be therapeutic. When patients share their fears, it not only validates their emotions but also allows healthcare providers to better understand the patient's perspective and offer tailored coping strategies.

Additionally, discussing fears can lead to increased trust between the patient and the healthcare team, reducing feelings of isolation that often accompany anxiety. It may also help the patient gain a better understanding of the surgical process, which can alleviate misconceptions and fears.

In situations involving anxiety, simply reassuring a patient without addressing their specific concerns may not be sufficient to alleviate their anxiety. While sedation can be appropriate in certain scenarios, administering it immediately may not address the root of the anxiety and can sidestep the importance of communication and support. Limiting discussions about surgery can further heighten anxiety, as patients may feel uninformed and unsupported. Therefore, encouraging open dialogue is the most beneficial approach in this scenario.