Health assessment · practice question

A 74-year-old client on a medical-surgical unit is being evaluated for pain assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which nurse response best supports psychosocial integrity?

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

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.False reassurance that nothing is wrong.

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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A 74-year-old client on a medical-surgical unit is being evaluated for pain assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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