Nursing fundamentals · practice question

A 70-year-old client in a rehabilitation facility is being evaluated for new admission assessment. Assessment data include respiratory rate 8/min, shallow breathing, and SpO2 86% on room air. Which nurse response best supports psychosocial integrity?

Multiple choiceEasynclex-rn-bsnnclex-validatednclex-2026nursing-fundamentals

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

Answer and explanation

Correct answer

D. 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 70-year-old client in a rehabilitation facility is being evaluated for new admission assessment. Assessment data include respiratory rate 8/min, shallow breathing, and SpO2 86% on room air. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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