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Adult health / medical-surgical nursing · practice question

A 59-year-old client in the intensive care unit is being evaluated for pneumonia with increased work of breathing. Assessment data include the client reports worst headache of life with neck stiffness. Which nurse response best supports psychosocial integrity?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
Choose one answer
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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