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Nursing fundamentals · practice question

A 70-year-old client in a rehabilitation facility is being evaluated for nursing care related to documentation fundamentals. 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-2026nursing-fundamentals
Choose one answer
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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