Psychosocial Integrity Practice Question

Question

The nurse is caring for a client with dementia and is focused on crisis intervention scenario 11. 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. Focus on immediate safety, support, and problem solving.

Correct Answer

D. Focus on immediate safety, support, and problem solving.

Explanation

The priority action for crisis intervention is to focus on immediate safety, support, and problem solving. NCLEX-style prioritization favors safety, assessment, appropriate delegation, timely escalation, and client-centered teaching.

Question details

• Difficulty: hard
• Domain: Psychosocial Integrity
• Objective: crisis intervention

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