Anatomy & Physiology I/II · practice question

A 59-year-old client in the intensive care unit is being evaluated for nursing care related to respiratory gas exchange. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which nurse response best supports psychosocial integrity?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026anatomy-physiology

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

Answer and explanation

Correct answer

C. 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 nursing care related to respiratory gas exchange. Assessment data include vital signs change from earlier: blood pressure 94/60 mm Hg and heart rate 112/min. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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