Nutrition · practice question

A 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to renal and cardiac diet patterns. Assessment data include the client has heart failure, 2+ edema, and a 2 kg weight gain in 24 hours. Which nurse response best supports psychosocial integrity?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026nutrition

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

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 79-year-old client on a medical-surgical unit is being evaluated for nursing care related to renal and cardiac diet patterns. Assessment data include the client has heart failure, 2+ edema, and a 2 kg weight gain in 24 hours. Which nurse response best supports psychosocial integrity?

Correct answer

Why

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