Adult health / medical-surgical nursing · practice question

A 59-year-old client in the intensive care unit is being evaluated for rapidly worsening vital signs. Assessment data include the client has crackles bilaterally, SpO2 88% on room air, and reports increased shortness of breath. Which nurse response best supports psychosocial integrity?

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

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

Answer and explanation

Correct answer

D. 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 rapidly worsening vital signs. Assessment data include the client has crackles bilaterally, SpO2 88% on room air, and reports increased shortness of breath. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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