Psychosocial integrity NCLEX RN questions

Welcome to our Psychosocial Integrity NCLEX questions article. In this article, you will have 3 sets of 25 quizzes.

Additional NCLEX RN practice tests and quizzes

For the parts that you scored poorly in, make sure to take our Practice Quizzes for the specific section. Here you can navigate all the NCLEX RN practice quizzes sections.

NCLEX practice questions Home
NCLEX RN full practice tests #2 and #3
NCLEX RN Management of Care quizzes
NCLEX RN Safety and Infection Control quizzes
NCLEX RN Basic Care and Comfort quizzes
NCLEX RN Reduction of Risk Potential quizzes
NCLEX RN Pharmacological and Parenteral Therapies quizzes
NCLEX RN Physiological Adaptation quizzes
NCLEX RN Psychosocial Integrity quizzes
NCLEX RN Health Promotion and Maintenance quizzes

Let’s get started right away.

Table of Contents

Toggle

Additional NCLEX RN practice tests and quizzes
NCLEX RN Psychosocial Integrity Quizzes

NCLEX RN Psychosocial Integrity Quizzes

NCLEX RN Psychosocial Integrity (Quiz 2)

Submit Cancel

Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 7 (Quiz 2): Psychosocial Integrity. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

Best of Luck!

RN Psychosocial Integrity,NCLEX-RN

Which of the following alterations in sensory function is normal for an elderly client?

A. Decreased sensitivity to bright light

B. Increased ability to taste spices

C. Decreased chronic pain perception

D. Increased sound discrimination

None

RN Psychosocial Integrity,NCLEX-RN

The children of a patient diagnosed with Alzheimer's disease (AD) tell the healthcare provider, "Our mother seems better during the day, but she gets very confused and agitated in the late afternoon and evenings." How should the healthcare provider document the patient's behavior?

A. Sundowning

B. Delirium

C. Depression

D. Psychosis

None

RN Psychosocial Integrity,NCLEX-RN

A client tells the mental health nurse that they have suddenly stopped taking their prescribed fluoxetine because of the side effects, especially the insomnia. What should the nurse do FIRST?

A. Ask the provider to lower the dose

B. Provide behavioral therapy referrals

C. Initiate admission to an inpatient facility

D. Assess the client for risk of suicide

None

RN Psychosocial Integrity,NCLEX-RN

Which of the following statements best explains the role of the nurse when the nurse is planning care for a culturally diverse population?

A. Focus only on the needs of each client demographic, ignoring the nurse's beliefs and practices

B. Blend the values of the nurse that are for the good of the client and minimize the client's individual values and beliefs during care

C. Include care that is culturally congruent with the staff from predetermined national data

D. Provide care while remaining aware of one's own biases, focusing on the client's individual needs rather than the staff's usual practices

None

RN Psychosocial Integrity,NCLEX-RN

A pediatric nurse is caring for a 9-year old girl with a known history of having been abused. Which therapeutic action should the nurse include in the child's care plan?

A. Ensure that the care setting allows the child to redevelop trust

B. Encourage the child to identify potential abusive settings

C. Ask the child to call the nurse if the abuser visits the unit

D. Instruct the child on typical characteristics of abusers

None

RN Psychosocial Integrity,NCLEX-RN

After a client learns that they sustained a C7 spinal cord injury due to trauma, the client tells the nurse, "I wish I were dead. I'm useless to everyone." What is the nurse's MOST therapeutic response?

A. You are feeling a sense of hopelessness now

B. Don't say that. It makes me very sad.

C. I'll ask your doctor to send a therapist

D. I'm sure you still have a lot to offer others

None

RN Psychosocial Integrity,NCLEX-RN

A client is brought by his friends to the Emergency Department. They tell the nurse that he has been shouting, "I am God!" The nurse knows the client is experiencing

A. a hallucination

B. an effusion

C. an illusion

D. a delusion

None

RN Psychosocial Integrity,NCLEX-RN

A patient is admitted to an inpatient psychiatric unit because of their plan to commit suicide by taking an overdose of medication. When a healthcare provider administers medications to this patient, which of these interventions is the priority?

A. Make sure that the patient is not "cheeking" the medications

B. Monitor the patient's vital signs before administering the medications

C. Monitor the patient for signs of anorexia, nausea, and xerostomia

D. Teach the patient how to recognize adverse effects of the medications

None

RN Psychosocial Integrity,NCLEX-RN

After visiting his father in the Alzheimer's unit, the adult son finds the nurse and says, "I'm so excited! Dad's been telling me stories about growing up. I think his memory is returning!" What is the nurse's best response?

A. He still has long-term memory, so that's what he talks about

B. I'm so glad you were able to be here for those wonderful stories

C. I'm so glad you told me. I'll let the doctor know right away

D. Yes. We listen to him all day long, repeating the same thing

None

10.

RN Psychosocial Integrity,NCLEX-RN

In Maslow's Hierarchy of Needs, which stage is the most fundamental?

A. Belonging

B. Safety

C. Esteem

D. Physiological

None

11.

RN Psychosocial Integrity,NCLEX-RN

The best therapeutic action for a client with organic brain syndrome is to

A. maintain a safe, consistent environment

B. encourage long visits by the family

C. provide sudoku and word search games

D. give detailed explanations of activities

None

12.

RN Psychosocial Integrity,NCLEX-RN

A patient has been diagnosed with agoraphobia. Which of the following would the healthcare provider identify as a characteristic of this disorder?

A. Fears to use public transportation

B. Avoids being in the presence of clowns

C. Refuses to use a public restroom

D. Avoids interacting with strangers

None

13.

RN Psychosocial Integrity,NCLEX-RN

A male client with a diagnosis of paranoid schizophrenia is admitted to the inpatient mental health unit. The client tells the nurse that he hears God telling him that he is a sinner and must punish himself. Which is the nurse's most appropriate response?

A. You have too much potential to be punished

B. Please tell us when you need to punish yourself

C. Exactly how will you punish yourself?

D. Tell me about your sins that need to be punished

None

14.

RN Psychosocial Integrity,NCLEX-RN

Which of the following assessment findings in a patient's health history supports a diagnosis of substance dependence?

A. Withdrawal symptoms when not using the substance

B. Continued tardiness and absenteeism from work

C. Numerous legal problems and interpersonal conflicts

D. Impaired judgment and risk-taking behaviors

None

15.

RN Psychosocial Integrity,NCLEX-RN

Following a suicide attempt by hanging, a client is admitted to the psychiatric unit. Which action by the nurse is most important in maintaining client safety?

A. Engage other clients to come and speak with the client

B. Place the client in a high-risk seclusion room for 48 hours

C. Assign a staff member to stay with the client at all times

D. Take the client's clothing and provide a hospital gown

None

16.

RN Psychosocial Integrity,NCLEX-RN

During a discussion group in the psychiatric unit, a female client suddenly becomes upset and leaves the group, yelling, "Everyone here hates me!" What should the nurse do?

A. After group, approach the client to talk about her feelings

B. Describe the client's situation to the other group members

C. Require the client to return to group and discuss her concerns

D. Ask the group members to apologize for upsetting the client

None

17.

RN Psychosocial Integrity,NCLEX-RN

As part of the administration of a MiniMental Status Exam (MMSE), the healthcare provider asks the patient to copy a simple geometric shape. This part of the exam tests which of the following mental functions?

A. Orientation and short-term memory

B. Hearing and language skills

C. Visual comprehension and praxis

D. Attention and calculation abilities

None

18.

RN Psychosocial Integrity,NCLEX-RN

When assessing a patient with severe depression, which of the following would the healthcare provider identify as a cognitive alteration?

A. Powerlessness

B. Anxiety

C. Low self-esteem

D. Somatic delusions

None

19.

RN Psychosocial Integrity,NCLEX-RN

A client with a diagnosis of bipolar, manic phase, was started 6 days ago on lithium carbonate 300 mg PO tid. What is the best time for the nurse to plan for a serum lithium level blood draw on day 7?

A. Before the client goes to bed

B. Between lunch and dinner

C. After the client eats lunch

D. In the morning, before breakfast

None

20.

RN Psychosocial Integrity,NCLEX-RN

Two weeks after giving birth, a new mother calls the clinic and reports pronounced fatigue, sadness, and tearfulness. She states, "I feel so overwhelmed, I don't know what to do!" Which of the following questions is most appropriate for the nurse to ask?

A. How much sleep do you get in a 24-hour period?

B. Is there a friend or a relative who can come and help you care for your baby?

C. Do you ever think about harming yourself or your baby?

D. Do you blame yourself for not being able to cope with motherhood?

None

21.

RN Psychosocial Integrity,NCLEX-RN

The nurse working in an assisted living facility is preparing morning medications when a female client enters the breakfast room, wearing only her underwear. Which of the following is the MOST appropriate nursing intervention?

A. Point out how the other clients are dressed and send her to her room

B. Walk the client back to her room and help her select an outfit

C. Ask the client if she forgot to do anything different this morning

D. Approach the client and tell her she is offending other residents.

None

22.

RN Psychosocial Integrity,NCLEX-RN

During a counseling session with a patient who was diagnosed with depression, the patient states, "I know my husband doesn't love me anymore." Which response by the healthcare provider demonstrates therapeutic communication?

A. Let's talk about what you did to cause him to stop loving you

B. Try not to think about it too much because it will make your depression worse

C. What happened to make you think your husband doesn't love you anymore?

D. You should really try not to dwell on something that probably isn't true

None

23.

RN Psychosocial Integrity,NCLEX-RN

A male patient tells his nurse that the CIA is monitoring and recording every movement, and microphones have been planted in the walls of the unit. Which response by the nurse would be the most therapeutic?

A. I'm going to put you in your room for a while, so you won't scare the others

B. Why don't you wait and bring this up at your next therapy session?

C. This must seem frightening to you, but I believe you are safe here

D. There is no way this is true. Let's walk around the unit and I'll prove it to you.

None

24.

RN Psychosocial Integrity,NCLEX-RN

When a nurse is administering medication to an inpatient with paranoid schizophrenia, which is the best method?

A. Wait until the patient seems calm

B. Two nurses should be present

C. Show trust by closing the door

D. Leave the patient's door open

None

25.

RN Psychosocial Integrity,NCLEX-RN

The nurse is using a professional interpreter to obtain a medical-social history from a client who is not proficient in English. Which of the following is the correct way to interview the client with an interpreter?

A. Limit the interview to one hour

B. Look at the interpreter when asking questions

C. Tell the client to speak słowly and clearly

D. Face both the client and the interpreter

None

1 out of 25

Time is Up!

Time's up

NCLEX RN Psychosocial Integrity (Quiz 3)

Submit Cancel

Welcome to your NCLEX-RN Practice Quizzes.

Note: We designed Three (3) sets of practice quizzes for this Domain. Each set has 25 questions.

Domain 7 (Quiz 3): Psychosocial Integrity. (25 questions)

Please click NEXT to start your Free NCLEX-RN Practice Quizzes right away.

Best of Luck!

RN Psychosocial Integrity,NCLEX-RN

A client is admitted with burns on the torso and both legs. The provider prescribes an initial dose of 500 mL IV human albumin 5%. When the nurse reviews the client's chart, which of the following requires notifying the provider before administering the albumin?

A. The client's hemoglobin is 14 g/dL

B. The client has a history of diabetes mellitus

C. The client is allergic to penicillin

D. The client is a member of Jehovah's Witnesses

None

RN Psychosocial Integrity,NCLEX-RN

A patient diagnosed with Alzheimer's disease (AD) is demonstrating signs of impaired reasoning. The healthcare provider suspects an alteration in which area of the brain?

A. Frontal lobe

B. Occipital lobe

C. Amygdala

D. Hippocampus

None

RN Psychosocial Integrity,NCLEX-RN

The healthcare provider is counseling a patient who was diagnosed with depression. Which of the following statements made by the patient should the healthcare provider recognize as a sign of transference?

A. I may not be good looking, but I get really good grades

B. I drink so I can deal with the difficult situation at work

C. I'm glad I lost my job because now I don't have to commute

D. It's amazing how much you remind me of my favorite teacher

None

RN Psychosocial Integrity,NCLEX-RN

A patient is abusive to others and insensitive to their feelings, and the patient shows no remorse. Which is the most likely personality disorder?

A. Narcissistic

B. Paranoid

C. Histrionic

D. Antisocial

None

RN Psychosocial Integrity,NCLEX-RN

A. Why don't you wait and bring this up at your next therapy session?

B. There is no way this is true. Let's walk around the unit and I'll prove it to you

C. This must seem frightening to you, but I believe you are safe here

D. I'm going to put you in your room for a while, so you won't scare the others

None

RN Psychosocial Integrity,NCLEX-RN

A mother has given birth to an infant with Down syndrome and a congenital heart defect. The nurse recognizes that the mother will need to process which emotion before successfully bonding with her newborn?

A. Acceptance

B. Anger

C. Grief

D. Guilt

None

RN Psychosocial Integrity,NCLEX-RN

The health care provider (HCP) has prescribed haloperidol for a client with Tourette's syndrome. When the nurse educates the client about possible side effects, including tardive dyskinesia (TD), which statement is accurate?

A. There is no current treatment for tardive dyskinesia

B. Tardive dyskinesia occurs within one week of starting the drug

C. Nearly everyone on this drug develops tardive dyskinesia

D. The risk of developing tardive dyskinesia increases over time

None

RN Psychosocial Integrity,NCLEX-RN

After the provider leaves a male client's room, the client tells the oncology nurse that he was just informed that his cancer is terminal. Which of the following responses by the nurse is MOST therapeutic?

A. Now you have a chance to make the most of the time that's left

B. Don't give up hope. There are new discoveries every day

C. Your provider should have waited to tell you until your family was here

D. I'm so sorry. Do you feel like talking more about this?

None

RN Psychosocial Integrity,NCLEX-RN

Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint, and respirations are depressed. Intoxication of which of the following drugs could contribute to these clinical signs?

A. Methamphetamine

B. Methadone

C. Ecstasy

D. Cocaine

None

10.

RN Psychosocial Integrity,NCLEX-RN

A 22-year old mother from Mexico arrives at the Emergency Department with her 3-month old daughter, who has a temperature of 100.6 °F (38.1 °C) and signs of sepsis. The ED physician orders a lumbar puncture, but the mother is hesitant to consent until her husband arrives. What should the ED nurse do?

A. Contact the Department of Children's Services to report child abuse

B. Tell the ED physician that the mother refuses

C. Keep trying to contact the husband

D. Ask the ED social worker to intervene

None

11.

RN Psychosocial Integrity,NCLEX-RN

The nurse provides teaching for a client who will receive electroconvulsive therapy (ECT). Which statement by the client indicates a need for further education?

A. There will be 6 to 12 treatment sessions

B. I will be able to recall the treatment when I wake

C. During ECT, I will be asleep and pain-free

D. Electric current causes a seizure in the brain

None

12.

RN Psychosocial Integrity,NCLEX-RN

The nursing instructor is teaching students about ego defense mechanisms. Which of the following statements about ego defense mechanisms is true?

A. People can choose to use ego defense mechanisms

B. Use of ego defense mechanisms is always unhealthy

C. Ego defense mechanisms can reduce stress and anxiety

D. Most people use only one of the ego defense mechanisms

None

13.

RN Psychosocial Integrity,NCLEX-RN

Following inpatient treatment for alcohol dependence, a client tells the nurse that he will be participating in Alcoholics Anonymous (AA). The nurse knows that AA's primary purpose is to

A. help members learn to manage stress

B. provide social activities without using alcohol

C. help members maintain sobriety

D. teach members to adhere to a 12-step program

None

14.

RN Psychosocial Integrity,NCLEX-RN

The nurse in a mental health unit asks a client, "Are you ready for lunch?" The client responds, "Am I ready for lunch?" and continues to repeat the phrase all afternoon. This behavior is called

A. echolalia

B. catatonia

C. echopraxia

D. cyclothymia

None

15.

RN Psychosocial Integrity,NCLEX-RN

A client with Stage 4 lung cancer is experiencing sadness, mourning, and grief about their terminal illness. Which of the following activities should the nurse encourage to most therapeutically assist the client?

A. Attend a support group with other cancer clients

B. Begin to donate their personal belongings to a charity

C. Join a campaign to raise funds for cancer research

D. Plan a vacation with their family for next year

None

16.

RN Psychosocial Integrity,NCLEX-RN

Bereavement may be defined as

A. the period of mourning after a death

B. the physical symptoms in response to a loss

C. postponing awareness of the reality of the death

D. the socially acceptable expression of a loss

None

17.

RN Psychosocial Integrity,NCLEX-RN

A 63-year-old male of Chinese descent complains of severe postoperative pain that does not respond to analgesics. He tells the nurse, "If I could get acupuncture, my pain would go away." The nurse understands that Asian cultures use acupuncture to

A. restore energy balance

B. expel evil spirits

C. promote serenity

D. block pain pathways

None

18.

RN Psychosocial Integrity,NCLEX-RN

When administering haloperidol (Haldol) to a client with a psychotic disorder, the nurse knows to observe for which adverse effect?

A. Seizures

B. Dysuria

C. Hypotension

D. Drooling

None

19.

RN Psychosocial Integrity,NCLEX-RN

The nurse is instructing a client who has just been prescribed fluoxetine (Prozac) for depression. At what time of day should the client take the medication?

A. Dinner

B. Midday

C. Bedtime

D. Morning

None

20.

RN Psychosocial Integrity,NCLEX-RN

The nurse is interviewing a new mother who gave birth one month ago. The mother has a documented history of substance abuse disorder. What is the FIRST question the nurse should ask the mother?

A. When was the last time you used an illegal substance?

B. How do you manage the stress of being a new mother?

C. Do you feel you are bonding well with your baby?

D. Can I offer you any resources or information at this time?

None

21.

RN Psychosocial Integrity,NCLEX-RN

The nurse is educating a client with a new diagnosis of major depressive disorder. The client states that they are reluctant to take the prescribed medication. What is the nurse's BEST response?

A. It's either this or electroconvulsive therapy

B. Tell me your concerns about taking this medication

C. You won't begin to feel better unless you take this medication

D. Think about it and we'll talk at your next appointment

None

22.

RN Psychosocial Integrity,NCLEX-RN

When the nurse delivers a lunch tray to a Jewish patient, the patient declines to eat because the tray has a hamburger, fries, and a milkshake. What should the nurse do?

A. Call the dietary department to bring a new tray

B. Remind the patient that a new tray will take a long time

C. Ask the dietician to teach the patient about a balanced diet

D. Inform the patient that the doctor ordered this diet

None

23.

RN Psychosocial Integrity,NCLEX-RN

A mother calls the pediatric clinic, concerned that her 3-year-old son has an imaginary friend. What should the nurse tell the mother?

A. This isn't unusual for young children. It's creative play

B. Don't worry or say anything that might upset him

C. Ignore the behavior. It'll go away when he goes to school

D. We should have your son evaluated. I'll get a referral

None

24.

RN Psychosocial Integrity,NCLEX-RN

The nurse is caring for a client during electroconvulsive therapy (ECT). Which of the following nursing actions is MOST important for client safety?

A. Monitor the client's airway and perform suctioning as needed

B. Check vital signs and cardiac rhythm on thhononitor screen

C. Remove the client's dentures, glasses, and hearing aids.

D. Position and support the client's arms and legs during the process

None

25.

RN Psychosocial Integrity,NCLEX-RN

A client who has been admitted to the inpatient mental health unit with a diagnosis of bipolar disorder is constantly arranging the client snack area and sweeping the unit's floors. The client also follows the housekeeper, offering advice on the best way to clean. Which activity is MOST appropriate for this client?

A. Television

B. Hiking

C. Painting

D. Chess

None

1 out of 25

Time is Up!

Time's up