NCLEX: An 8-year-old child at a school health screening is being evaluated for developmental expectations for school-age…

Psychology / lifespan development Health Promotion and Maintenance

Case Study

An 8-year-old child at a school health screening is being evaluated for developmental expectations for school-age development. Assessment data include the caregiver asks which chores are developmentally appropriate. Which nurse response best supports psychosocial integrity?

Question

A. False reassurance that nothing is wrong.
B. Therapeutic presence, active listening, validation, and suicide or violence screening when indicated.
C. Changing the subject when the client expresses fear.
D. Promising outcomes that cannot be guaranteed.

Rationale

Correct answer: B. Therapeutic presence, active listening, validation, and suicide or violence screening when indicated.

Rationale: Psychosocial integrity items reward therapeutic communication and appropriate safety screening, not avoidance or false promises.

Hint: Apply ABCs, client stability, and NCSBN clinical judgment steps before choosing an intervention.

Level: Foundational

Difficulty: Easy

Subtopic: School-age development