Nursing fundamentals · practice question
A 70-year-old client in a rehabilitation facility is being evaluated for nursing care related to hygiene and comfort. 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-2026nursing-fundamentals
Answer and explanation
Correct answer
C. 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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