Pathophysiology · practice question
A 59-year-old client in the intensive care unit is being evaluated for nursing care related to electrolyte imbalance. Assessment data include the client reports worst headache of life with neck stiffness. Which nurse response best supports psychosocial integrity?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026pathophysiology
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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