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Pediatric nursing · practice question

A 2-year-old toddler in the emergency department is being evaluated for postoperative pain in a school-age child. Assessment data include capillary refill 4 seconds with dry mucous membranes and sunken fontanelle. Which nurse response best supports psychosocial integrity?

Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026pediatric-nursing
Choose one answer
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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