Clinical judgment / Next Gen NCLEX case studies · practice question

An RN prioritizing care after a change in status is being evaluated for nursing care related to safety-focused judgment. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which nurse response best supports psychosocial integrity?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026clinical-judgment-next-gen-nclex

False reassurance that nothing is wrong.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.

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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An RN prioritizing care after a change in status is being evaluated for nursing care related to safety-focused judgment. Assessment data include new vital signs show blood pressure 88/50 mm Hg, heart rate 124/min, and increasing confusion. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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