NCLEX Psychosocial Integrity Test Bank
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026/2027 Q&A
| Instant Download Pdf
1. A nurse is caring for a client experiencing acute anxiety.
Which action should the nurse take first?
A. Teach deep-breathing exercises
B. Encourage verbalization of feelings
C. Reduce environmental stimuli
D. Administer prescribed anxiolytics
Correct Answer: C
Rationale: Reducing environmental stimuli is the priority
intervention for acute anxiety to help lower sensory
overload and promote emotional stabilization.
2. A client with schizophrenia is experiencing auditory
hallucinations. Which response by the nurse is most
appropriate?
A. “The voices are not real.”
B. “Why do you think you hear voices?”
C. “I don’t hear voices, but I know they are frightening for
you.”
D. “Try to ignore the voices.”
,Correct Answer: C
Rationale: Acknowledging the client’s experience without
reinforcing hallucinations helps maintain trust and reality
orientation.
3. A nurse suspects child abuse. What is the nurse’s legal
responsibility?
A. Confront the parents
B. Report to hospital administration
C. Document findings only
D. Report to child protective services
Correct Answer: D
Rationale: Nurses are mandated reporters and must report
suspected abuse to child protective services according to
law.
4. A client states, “I feel hopeless and don’t want to live
anymore.” What is the nurse’s priority response?
A. Ask about a suicide plan
B. Provide reassurance
C. Leave the client alone
D. Notify family members
Correct Answer: A
Rationale: Assessing for suicidal intent and plan is the
priority to determine immediate risk and ensure safety.
,5. Which behavior indicates effective coping in a client
diagnosed with depression?
A. Social isolation
B. Refusal of medication
C. Seeking support from friends
D. Sleeping excessively
Correct Answer: C
Rationale: Seeking social support reflects adaptive coping
and engagement in recovery.
6. A client with bipolar disorder is exhibiting manic
behavior. Which intervention is most appropriate?
A. Encourage group activities
B. Set firm limits on behavior
C. Provide detailed explanations
D. Promote daytime napping
Correct Answer: B
Rationale: Firm, consistent limits help maintain safety and
reduce excessive stimulation during mania.
7. Which statement by a nurse demonstrates therapeutic
communication?
, A. “Everything will be fine.”
B. “Why did you do that?”
C. “Tell me more about how you’re feeling.”
D. “You shouldn’t feel that way.”
Correct Answer: C
Rationale: Open-ended statements encourage expression
and foster therapeutic rapport.
8. A client with PTSD experiences flashbacks. What nursing
intervention is most appropriate?
A. Encourage avoidance of triggers
B. Provide grounding techniques
C. Suggest isolation
D. Discourage discussion of trauma
Correct Answer: B
Rationale: Grounding techniques help the client remain
oriented to the present and reduce dissociation.
9. Which client statement indicates risk for suicide?
A. “I feel sad today.”
B. “I have no reason to live.”
C. “I’m tired of therapy.”
D. “I want to sleep more.”
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026/2027 Q&A
| Instant Download Pdf
1. A nurse is caring for a client experiencing acute anxiety.
Which action should the nurse take first?
A. Teach deep-breathing exercises
B. Encourage verbalization of feelings
C. Reduce environmental stimuli
D. Administer prescribed anxiolytics
Correct Answer: C
Rationale: Reducing environmental stimuli is the priority
intervention for acute anxiety to help lower sensory
overload and promote emotional stabilization.
2. A client with schizophrenia is experiencing auditory
hallucinations. Which response by the nurse is most
appropriate?
A. “The voices are not real.”
B. “Why do you think you hear voices?”
C. “I don’t hear voices, but I know they are frightening for
you.”
D. “Try to ignore the voices.”
,Correct Answer: C
Rationale: Acknowledging the client’s experience without
reinforcing hallucinations helps maintain trust and reality
orientation.
3. A nurse suspects child abuse. What is the nurse’s legal
responsibility?
A. Confront the parents
B. Report to hospital administration
C. Document findings only
D. Report to child protective services
Correct Answer: D
Rationale: Nurses are mandated reporters and must report
suspected abuse to child protective services according to
law.
4. A client states, “I feel hopeless and don’t want to live
anymore.” What is the nurse’s priority response?
A. Ask about a suicide plan
B. Provide reassurance
C. Leave the client alone
D. Notify family members
Correct Answer: A
Rationale: Assessing for suicidal intent and plan is the
priority to determine immediate risk and ensure safety.
,5. Which behavior indicates effective coping in a client
diagnosed with depression?
A. Social isolation
B. Refusal of medication
C. Seeking support from friends
D. Sleeping excessively
Correct Answer: C
Rationale: Seeking social support reflects adaptive coping
and engagement in recovery.
6. A client with bipolar disorder is exhibiting manic
behavior. Which intervention is most appropriate?
A. Encourage group activities
B. Set firm limits on behavior
C. Provide detailed explanations
D. Promote daytime napping
Correct Answer: B
Rationale: Firm, consistent limits help maintain safety and
reduce excessive stimulation during mania.
7. Which statement by a nurse demonstrates therapeutic
communication?
, A. “Everything will be fine.”
B. “Why did you do that?”
C. “Tell me more about how you’re feeling.”
D. “You shouldn’t feel that way.”
Correct Answer: C
Rationale: Open-ended statements encourage expression
and foster therapeutic rapport.
8. A client with PTSD experiences flashbacks. What nursing
intervention is most appropriate?
A. Encourage avoidance of triggers
B. Provide grounding techniques
C. Suggest isolation
D. Discourage discussion of trauma
Correct Answer: B
Rationale: Grounding techniques help the client remain
oriented to the present and reduce dissociation.
9. Which client statement indicates risk for suicide?
A. “I feel sad today.”
B. “I have no reason to live.”
C. “I’m tired of therapy.”
D. “I want to sleep more.”
