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EDAPT: NCLEX Readiness: Psychosocial
Integrity Part 1 Questions and Answers
Latest Update
A client with a history of panic disorder is brought to the emergency
department reporting dizziness, palpitations, and chest pain. The client
states that they feel as if they are "going crazy."
The nurse's first action should be to __________. Ans: Perform a physical
assessment
The nurse is caring for a client diagnosed with schizophrenia who is
standing on the bed, refusing to step on the floor. The client states, "I am
not going anywhere until you remove those snakes." The nurse identifies the
client's clinical manifestations as __________ __________. Ans: Visual
Hallucinations
The nurse is caring for a client who presents to the emergency room very
anxious, pacing, using profanity, clenching their fists, and demanding to be
seen for their pain.
For each of the nurse's actions, click to specify if the action is indicated or
not indicated. Ans: Indicated:
The nurse keeps a neutral tone while asking the client to walk to a private
area.
The nurse remains three feet away from the client saying, "Please tell me
about your pain."
© 2025 All rights reserved
, 2 | Page
The nurse tells the client, "I can see you are uncomfortable. Where is your
pain?"
Not Indicated:
The nurse crosses their arms saying, "Please keep your voice down."
The nurse closely approaches the client and asks, "Why are you yelling?"
A nurse is caring for a client in hospice care. The client's brother states, "I
know there is little time." The nurse prepares to suggest ways to cope with
the impending death of a family member. Which coping strategies should
the nurse suggest to help with the coping process of impending death? Drag
the correct options to the boxes on the right. Ans: Spend time with the
family member.
Assist in providing physical care while visiting.
Engage in self-care practices such as meditation.
The nurse is caring for a client recently hospitalized in the mental health
unit after a suicide attempt. The client shared that they attempted to end
their life because "God doesn't love me." Which nursing actions should the
nurse take? Drag the correct options to the boxes on the right. Ans: Ask the
client, "Can we talk more about your sense of feeling unloved?"
Speak slowly in concrete terms, showing care and respect.
A client was brought to the mental health unit suffering from a substance-
induced manic state due to alcohol use. The nurse's priority intervention is
to __________. Ans: Provide the client a safe environment
The nurse is caring for a client diagnosed with generalized anxiety disorder.
Which clinical manifestations are consistent with generalized anxiety
disorder? Drag the correct options to the boxes on the right. Ans: Excessive
worry
© 2025 All rights reserved
, 3 | Page
Muscle tension
Feeling unable to relax
The nurse is educating a client who will be discharged with a new
prescription for lithium. The client's lithium levels have been stable for the
past two weeks. Which client statements should indicate to the nurse that
the client needs further teaching? Select all that apply. Ans: "I know lithium
can cause addiction."
"I will take my lithium pills on an empty stomach."
"I will not eat anything with salt."
The nurse is caring for a client in the psychiatric unit who is disruptive in
group therapy. The client says to the nurse, "I don't need your help! I can
control my own behavior!" and storms out of the lounge. A few minutes
later, the client rushes back into the lounge, wearing high heels and a low-
cut halter top. The client sits down in front of an assistant and says, "Do you
like what I'm wearing?" What is the most appropriate action by the nurse?
Ans: Escort the client to their room and help them change clothes.
Review the case study. Click to highlight the cues that indicate the client is
experiencing a crisis. Ans: History of depression
Periods of crying
Verbalizes family, relationship, and financial concerns
Limited finances
Not being able to sleep
Reliving the accident
© 2025 All rights reserved
, 4 | Page
Before answering this question, review the electronic health record. In the
Nurses' Notes tab click to highlight the areas that are most concerning to
the nurse. Ans: Occasionally speaking in rapid, loud phrases
Linear, ordered scar marks on forearms
Red/pink puncture marks in various stages of healing
Labile mood
Arms crossed
Fidgeting noted
Hair greasy, unkempt appearance
Verbalizes suicidal ideation with a plan
The nurse recognizes that the client is experiencing __________ as a defense
mechanism, which is reflected in the behavior of __________. Ans:
Displacement
Anger toward staff
Identify the likely condition the client is experiencing, two findings to
support this condition, and two potential causes for this condition. Select
the correct options from each drop-down list. Ans: Findings:
Aggression
Restlessness
Condition:
Manic episode
© 2025 All rights reserved
EDAPT: NCLEX Readiness: Psychosocial
Integrity Part 1 Questions and Answers
Latest Update
A client with a history of panic disorder is brought to the emergency
department reporting dizziness, palpitations, and chest pain. The client
states that they feel as if they are "going crazy."
The nurse's first action should be to __________. Ans: Perform a physical
assessment
The nurse is caring for a client diagnosed with schizophrenia who is
standing on the bed, refusing to step on the floor. The client states, "I am
not going anywhere until you remove those snakes." The nurse identifies the
client's clinical manifestations as __________ __________. Ans: Visual
Hallucinations
The nurse is caring for a client who presents to the emergency room very
anxious, pacing, using profanity, clenching their fists, and demanding to be
seen for their pain.
For each of the nurse's actions, click to specify if the action is indicated or
not indicated. Ans: Indicated:
The nurse keeps a neutral tone while asking the client to walk to a private
area.
The nurse remains three feet away from the client saying, "Please tell me
about your pain."
© 2025 All rights reserved
, 2 | Page
The nurse tells the client, "I can see you are uncomfortable. Where is your
pain?"
Not Indicated:
The nurse crosses their arms saying, "Please keep your voice down."
The nurse closely approaches the client and asks, "Why are you yelling?"
A nurse is caring for a client in hospice care. The client's brother states, "I
know there is little time." The nurse prepares to suggest ways to cope with
the impending death of a family member. Which coping strategies should
the nurse suggest to help with the coping process of impending death? Drag
the correct options to the boxes on the right. Ans: Spend time with the
family member.
Assist in providing physical care while visiting.
Engage in self-care practices such as meditation.
The nurse is caring for a client recently hospitalized in the mental health
unit after a suicide attempt. The client shared that they attempted to end
their life because "God doesn't love me." Which nursing actions should the
nurse take? Drag the correct options to the boxes on the right. Ans: Ask the
client, "Can we talk more about your sense of feeling unloved?"
Speak slowly in concrete terms, showing care and respect.
A client was brought to the mental health unit suffering from a substance-
induced manic state due to alcohol use. The nurse's priority intervention is
to __________. Ans: Provide the client a safe environment
The nurse is caring for a client diagnosed with generalized anxiety disorder.
Which clinical manifestations are consistent with generalized anxiety
disorder? Drag the correct options to the boxes on the right. Ans: Excessive
worry
© 2025 All rights reserved
, 3 | Page
Muscle tension
Feeling unable to relax
The nurse is educating a client who will be discharged with a new
prescription for lithium. The client's lithium levels have been stable for the
past two weeks. Which client statements should indicate to the nurse that
the client needs further teaching? Select all that apply. Ans: "I know lithium
can cause addiction."
"I will take my lithium pills on an empty stomach."
"I will not eat anything with salt."
The nurse is caring for a client in the psychiatric unit who is disruptive in
group therapy. The client says to the nurse, "I don't need your help! I can
control my own behavior!" and storms out of the lounge. A few minutes
later, the client rushes back into the lounge, wearing high heels and a low-
cut halter top. The client sits down in front of an assistant and says, "Do you
like what I'm wearing?" What is the most appropriate action by the nurse?
Ans: Escort the client to their room and help them change clothes.
Review the case study. Click to highlight the cues that indicate the client is
experiencing a crisis. Ans: History of depression
Periods of crying
Verbalizes family, relationship, and financial concerns
Limited finances
Not being able to sleep
Reliving the accident
© 2025 All rights reserved
, 4 | Page
Before answering this question, review the electronic health record. In the
Nurses' Notes tab click to highlight the areas that are most concerning to
the nurse. Ans: Occasionally speaking in rapid, loud phrases
Linear, ordered scar marks on forearms
Red/pink puncture marks in various stages of healing
Labile mood
Arms crossed
Fidgeting noted
Hair greasy, unkempt appearance
Verbalizes suicidal ideation with a plan
The nurse recognizes that the client is experiencing __________ as a defense
mechanism, which is reflected in the behavior of __________. Ans:
Displacement
Anger toward staff
Identify the likely condition the client is experiencing, two findings to
support this condition, and two potential causes for this condition. Select
the correct options from each drop-down list. Ans: Findings:
Aggression
Restlessness
Condition:
Manic episode
© 2025 All rights reserved
