Adult health / medical-surgical nursing · practice question
A 59-year-old client in the intensive care unit is being evaluated for uncontrolled hyperglycemia. Assessment data include blood glucose 420 mg/dL with acetone breath and Kussmaul respirations. Which nurse response best supports psychosocial integrity?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026adult-health-med-surg
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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