Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for abdominal assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which nurse response best supports psychosocial integrity?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026health-assessment

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

Answer and explanation

Correct answer

B. 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 66-year-old client in an outpatient clinic is being evaluated for abdominal assessment during hospitalization. Assessment data include the client tries to get out of bed unassisted and becomes unsteady. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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