Adult health / medical-surgical nursing · practice question

A 59-year-old client in the intensive care unit is being evaluated for partial bowel obstruction. Assessment data include the client reports sudden sharp chest pain and respirations 32/min after surgery. Which nurse response best supports psychosocial integrity?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg

Therapeutic presence, active listening, validation, and suicide or violence screening when indicated.Changing the subject when the client expresses fear.Promising outcomes that cannot be guaranteed.False reassurance that nothing is wrong.

Answer and explanation

Correct answer

A. Therapeutic presence, active listening, validation, and suicide or violence screening when indicated.

Why

Psychosocial integrity items reward therapeutic communication and appropriate safety screening, not avoidance or false promises.

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A 59-year-old client in the intensive care unit is being evaluated for partial bowel obstruction. Assessment data include the client reports sudden sharp chest pain and respirations 32/min after surgery. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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