Psychiatric / mental health nursing · practice question
A 16-year-old adolescent on an adolescent psychiatric unit is being evaluated for auditory hallucinations. Assessment data include the client is pacing aggressively, clenching fists, and refusing to sit. Which nurse response best supports psychosocial integrity?
Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
B. 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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