Psychosocial Integrity Practice Question

Question

The nurse is caring for a client after a traumatic event and is focused on cognitive impairment scenario 12. Which nursing action is most appropriate?

Answer choices

1. A. Use simple instructions, routines, and environmental cues.
2. B. Delay assessment until the next scheduled round if the client is not calling for help.
3. C. Delegate the clinical assessment and nursing judgment to assistive personnel.
4. D. Document the concern without notifying the appropriate provider or care team member when escalation is needed.

Correct Answer

A. Use simple instructions, routines, and environmental cues.

Explanation

The priority action for cognitive impairment is to use simple instructions, routines, and environmental cues. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: easy
• Domain: Psychosocial Integrity
• Objective: cognitive impairment

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