Psychosocial Integrity Practice Question

Question

The nurse is caring for a client with major depression and is focused on domestic violence scenario 2. Which nursing action is most appropriate?

Answer choices

1. A. Delay assessment until the next scheduled round if the client is not calling for help.
2. B. Delegate the clinical assessment and nursing judgment to assistive personnel.
3. C. Document the concern without notifying the appropriate provider or care team member when escalation is needed.
4. D. Ensure privacy, assess immediate safety, and provide resources without judgment.

Correct Answer

D. Ensure privacy, assess immediate safety, and provide resources without judgment.

Explanation

The priority action for domestic violence is to ensure privacy, assess immediate safety, and provide resources without judgment. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: hard
• Domain: Psychosocial Integrity
• Objective: domestic violence

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