Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for musculoskeletal assessment during hospitalization. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Which nurse response best supports psychosocial integrity?

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

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

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 74-year-old client on a medical-surgical unit is being evaluated for musculoskeletal assessment during hospitalization. Assessment data include blood pressure 180/102 mm Hg with headache and blurred vision. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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