Psychiatric / mental health nursing · practice question
A 42-year-old client in a crisis stabilization unit is being evaluated for involuntary hold status. Assessment data include the client has not slept in 3 days and speech is rapid and pressured. Which nurse response best supports psychosocial integrity?
Multiple choiceHardnclex-rn-bsnnclex-validatednclex-2026psychiatric-mental-health
Answer and explanation
Correct answer
C. 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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