Psychosocial Integrity Exam Questions
and answers 2025
A .teenage .client .asks .the .nurse, ."Do .you .think .I .should .tell .my .parents .about
.my .sexuality?" .What .is .the .nurse's .best .response?
1. ."What .do .you .think .you .should .do?"
2. ."Absolutely, .I .think .you .should .tell .your .parents."
3. ."Don't .you .think .your .parents .have .the .right .to .know .about .your .sexuality?"
4. ."I .do .not .think .now .is .the .right .time .to .tell .your .parents. .Wait .until .you .are
.21." .- .CORRECT .ANSWER-1. .Correct: .It .is .better .to .say ."What .do .you .think .you
.should .do?" .This .helps .the .client .reflect .on .options .and .does .not .have .the
.nurse .tell .the .client .what .to .do. .It .is .much .more .therapeutic .to .help .the .client
.make .the .decision .for .themselves, .instead .of .the .nurse. .This .prevents .any
.biases .from .impacting .the .outcome.
2. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
3. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
4. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
The .nurse .is .caring .for .a .client .who .presents .to .the .mental .health .unit
.following .a .violent .altercation .with .the .spouse. .The .client .has .numerous
.bruises .on .the .face, .chest, .and .back. .There .is .one .laceration .where .spouse
."came .at .me" .with .a .knife. .At .this .time, .what .is .most .likely .to .be .the .mood .of
.the .perpetrator .in .this .situation?
1. .Extreme .anger
2. .Anxiety
3. .Kindness
4. .Irritability .- .CORRECT .ANSWER-3. .Correct: .The .perpetrator .has .completed
.the .acute .battering .phase .and .has .now .likely .entered .the .honeymoon .phase
.with .extreme .kindness .and .acts .of .love. .The .attacker .is .now .calm .after .the
,.tension .has .been .released. .You .may .witness .remorseful .and .apologetic
.behaviors .like .bringing .gifts .and .promises .of .love.
1. .Incorrect: .The .anger .phase .is .likely .over .after .the .attacker .has .beaten .the
.victim. .This .anger .building .stage .is .called .tension .building .stage .and .is
.characterized .by .minor .incidents .like .pushing, .shoving .and .verbal .abuse.
.During .this .time .the .abused .spouse .may .accept .the .abuse .for .fear .of .it .getting
.worse .so .the .abuser .rationalizes .that .the .behavior .is .acceptable. .The .abuser
.may .even .turn .to .alcohol .and .drugs .to .curb .the .anger. .The .extreme .anger
.exhibited .during .the .acute .battering .stage. .The .abuser .releases .the .built-up
.anger .and .tension .by .brutal .and .uncontrollable .beatings. .After .the .beating .the
.client .is .calm .and .described .as ."in .shock" .or .have .have .amnesia .of .the .event.
.You .also .see .extreme .anger .in .the .escalation/de-escalation .stage.
2. .Incorrect: .The .tension .or .anxiety .would .be .felt .during .the .tension-building
.phase. .This .anger .building .stage .is .called .tension .building .stage .and .is
.characterized .by .minor .incidents .like .pushing, .shoving .and .verbal .abuse.
.During .this .time .the .abused .spouse .may .accept .the .abuse .for .fear .of .it .getting
.worse .so .the .abuser .rationalizes .that .the .behavior .is .acceptable. .The .abuser
.may .even .turn .to .alcohol .and .drugs .to .curb .the .anger. .The .extreme .anger
.exhibited .during .the .acute .battering .stage. .The .abuser .releases .the .built-up
.anger .and .tension .by .brutal .and .uncontrollable .beatings. .After .the .beating .the
.client .is .calm .and .described .as ."in .shock" .or .have .have .amnesia .of .the .event.
.You .also .see .extreme .anger .in .the .escalation/de-escalation .stage.
4. .Incorrect: .Irritability .would
A .teenage .client .with .asthma .reports .becoming .very .anxious .and .fearful .each
.time .an .asthma .attack .occurs. .What .would .be .the .nurse's .best .response .to .the
.client?
1. ."I .understand .that .you .feel .anxious. .But .you .must .stop .this .behavior."
2. ."The .feelings .that .you .described .can .occur .in .individuals .with .asthma. .You
.may .find .that .learning .relaxation .exercises .may .help."
3. ."I .am .concerned .that .feeling .anxious .during .an .asthma .attack .means .you
.need .more .education .about .asthma."
4. ."Everyone .with .asthma .experiences .tough .times .with .their .symptoms. .You
.are .learning .to .manage .your .asthma." .- .CORRECT .ANSWER-2. .Correct: .This
.statement .acknowledges .the .client's .feelings .and .then .provides .a .suggested
.strategy .that .has .been .found .to .be .useful .in .clients .with .anxiety .and .fear
.associated .with .asthma.
1. .Incorrect: .The .nurse .states .understanding .but .then .tells .the .client .to .stop .the
.behavior .without .providing .any .helpful .suggestions.
3. .Incorrect: .This .response .is .disagreeing .with .the .client's .feelings .and
.psychosocial .response .by .stating .that .more .education .about .asthma .will
.prevent .anxiety .during .an .asthma .attack.
4. .Incorrect: .This .response .dismisses .and .belittles .the .client's .feelings .and
.psychosocial .response .associated .with .asthma. .By .stating ."everyone .with
,.asthma", .the .nurse .is .making .a .stereotypical .response. .This .does .not .promote
.expressions .of .feelings .by .the .client.
Which .nursing .intervention .should .the .nurse .include .when .caring .for .a .client
.with .Alzheimer's .disease .being .admitted .to .a .long .term .care .facility?
1. .Offer .multiple .environmental .stimuli .at .the .same .time .to .provide .distraction.
2. .Encourage .the .client .to .participate .in .activities .such .as .board .games.
3. .Restrain .the .client .in .a .chair .to .prevent .falls .when .sundowning .occurs.
4. .Involve .the .client .in .supervised .walking .as .a .routine. .- .CORRECT .ANSWER-4.
.Correct: .A .regular .routine .and .physical .activity .help .client's .with .Alzheimer's
.disease .maintain .abilities .for .a .longer .period .of .time. .Physical .activities
.promote .strength, .agility .and .balance. .The .client's .walking .should .be
.supervised .for .client .safety .issues.
1. .Incorrect: .Environmental .stimuli .should .be .limited .with .clients .with
.Alzheimer's .Disease. .The .client .can .become .agitated .and/or .more .disoriented
.with .an .increase .in .environmental .stimuli.
2. .Incorrect: .Board .games .would .not .be .appropriate .due .to .the .client's
.cognitive .and .memory .impairment. .Board .games .require .complex .cognitive
.actions.
3. .Incorrect: .Restraints .should .be .avoided .because .they .increase .agitation. .The
.client .may .become .agitated .by .the .restriction .of .he .restraints. .Also .the .client
.may .perceive .the .restraints .as .a .threat.
An .alcoholic .client .was .admitted .to .the .medical .unit .with .substance-withdrawal
.delirium. .Two .days .later, .the .client .decides .to .leave .the .hospital .against
.medical .advice. .What .is .the .priority .nursing .intervention .at .this .time?
1. .Hide .the .client's .clothes .so .that .he .cannot .leave.
2. .Administer .the .ordered .sedative.
3. .Place .restraints .on .the .client.
4. .Determine .why .the .client .wants .to .leave. .- .CORRECT .ANSWER-4. .Correct:
.Always .assess .why .the .client .wishes .to .leave .first. .This .will .provide .an
.opportunity .to .attempt .to .fix .the .problem .and .possibly .revise .the .client's
.decision.
1., .2. .& .3. .Incorrect: .Confining .a .client .against .his .or .her .wishes, .except .in .an
.emergency .situation, .may .be .considered .false .imprisonment. .Actions .that .may
.invoke .these .charges .include: .locking .an .individual .in .a .room, .taking .a
.person's .clothes .for .the .purposes .of .detainment .against .his .or .her .will, .and
.retaining .in .mechanical .restraints .a .competent .voluntary .client .who .demands
.to .be .released.
A .client .who .was .diagnosed .with .paranoid .delusions .has .been .prescribed .a
.chest .x-ray. .The .client .refuses .the .chest .x-ray .and .states ."No, .they .want .to .kill
, .me .with .the .rays .from .the .x-ray .machine." .Which .nursing .response .is
.appropriate?
1. ."Do .you .think .people .want .to .kill .you .with .rays?"
2. ."You .don't .have .to .worry .that .someone .is .going .to .kill .you."
3. ."I .don't .want .you .to .talk .about .the .x-ray .technicians."
4. ."Where .did .you .get .the .idea .that .someone .was .trying .to .kill .you?" .-
.CORRECT .ANSWER-1. .Correct: .By .restating .the .client's .primary .idea .this
.reinforces .to .the .client .that .statement .has .been .heard. .This .allows .the .client .to
.clarify .the .statement .or .realize .that .the .nurse .has .understood .the .comment.
.This .is .the .therapeutic .communication .technique .of .restating.
2. .Incorrect: .The .nurse .is .using .the .nontherapeutic .communication .technique .of
.giving .reassurance. .The .nurse .is .stating .that .the .client .has .nothing .to .worry
.about. .The .client .may .feel .the .nurse .is .moderating .their .intense .concern .of .the
.possibility .of .being .killed.
3. .Incorrect: .The .nurse .is .disregarding .the .client's .concern .about .possibly
.being .killed. .The .nurse .is .redirecting .the .conversation .about .the .client .to
.concern .for .the .x-ray .technicians. .The .nurse .is .preferring .the .conversation .to
.be .focused .on .another .topic. .This .is .an .example .of .the .nontherapeutic
.communication .technique .of .introducing .an .unrelated .topic.
4. .Incorrect: .Demanding .a .reason .from .the .client .about .their .thoughts .or
.feelings .is .an .example .of .the .nontherapeutic .communication .technique .of
.requesting .an .explanation. .This .is .a .direct .question. .The .client .will .need .to
.defend .their .feelings .or .thought. .The .client .may .feel .intimidated .and .stop
.communicating .with .the .nurse.
A .client .had .a .suspicious .area .of .the .skin .biopsied .and .sent .to .the .lab .for
.analysis. .The .client .states ."I .am .worried .that .the .pathology .report .will .indicate
.cancer." .Which .response .would .the .nurse .initiate .to .assist .the .client .in
.reducing .their .anxiety?
1. ."You .are .anxious .about .the .pathology .report?"
2. ."Would .you .like .me .to .recommend .a .movie .for .you .to .watch?"
3. ."I .will .notify .your .daughter .that .you .are .concerned .about .the .pathology
.report."
4. ."Have .you .tried .taking .long, .slow .deep .breaths .and .not .thinking .negative
.thoughts?" .- .CORRECT .ANSWER-1. .Correct: .Utilizing .the .therapeutic
.communication .technique .of .restating .encourages .the .client .to .continue
.expressing .their .thoughts .and .feelings. .This .correct .response .by .the .nurse .will
.also .encourage .the .client .to .continue .verbalizing .or .clarify .their .statement .if
.needed. .Restating .is .an .effective .communication .technique .to .reduce .the
.client's .anxiety.
2. .Incorrect: .The .nurse .is .presenting .another .option .for .the .client .to .discuss
.that .is .not .related .to .the .current .conversation. .Sometimes .distraction, .a
.nontherapeutic .communication .technique, .is .used .by .the .nurse .to .reduce .their
.anxiety .which .is .not .client .driven .communication. .The .focus .of .the .nurse
.should .be .the .client. .Communication .should .be .client-centered .to .explore .client
and answers 2025
A .teenage .client .asks .the .nurse, ."Do .you .think .I .should .tell .my .parents .about
.my .sexuality?" .What .is .the .nurse's .best .response?
1. ."What .do .you .think .you .should .do?"
2. ."Absolutely, .I .think .you .should .tell .your .parents."
3. ."Don't .you .think .your .parents .have .the .right .to .know .about .your .sexuality?"
4. ."I .do .not .think .now .is .the .right .time .to .tell .your .parents. .Wait .until .you .are
.21." .- .CORRECT .ANSWER-1. .Correct: .It .is .better .to .say ."What .do .you .think .you
.should .do?" .This .helps .the .client .reflect .on .options .and .does .not .have .the
.nurse .tell .the .client .what .to .do. .It .is .much .more .therapeutic .to .help .the .client
.make .the .decision .for .themselves, .instead .of .the .nurse. .This .prevents .any
.biases .from .impacting .the .outcome.
2. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
3. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
4. .Incorrect: .All .of .these .responses .give .advice .to .the .client. .Telling .the .client
.what .to .do .or .how .to .behave .which .implies .that .the .nurse .knows .what .is .best
.and .that .the .client .is .not .capable .of .making .any .decisions.
The .nurse .is .caring .for .a .client .who .presents .to .the .mental .health .unit
.following .a .violent .altercation .with .the .spouse. .The .client .has .numerous
.bruises .on .the .face, .chest, .and .back. .There .is .one .laceration .where .spouse
."came .at .me" .with .a .knife. .At .this .time, .what .is .most .likely .to .be .the .mood .of
.the .perpetrator .in .this .situation?
1. .Extreme .anger
2. .Anxiety
3. .Kindness
4. .Irritability .- .CORRECT .ANSWER-3. .Correct: .The .perpetrator .has .completed
.the .acute .battering .phase .and .has .now .likely .entered .the .honeymoon .phase
.with .extreme .kindness .and .acts .of .love. .The .attacker .is .now .calm .after .the
,.tension .has .been .released. .You .may .witness .remorseful .and .apologetic
.behaviors .like .bringing .gifts .and .promises .of .love.
1. .Incorrect: .The .anger .phase .is .likely .over .after .the .attacker .has .beaten .the
.victim. .This .anger .building .stage .is .called .tension .building .stage .and .is
.characterized .by .minor .incidents .like .pushing, .shoving .and .verbal .abuse.
.During .this .time .the .abused .spouse .may .accept .the .abuse .for .fear .of .it .getting
.worse .so .the .abuser .rationalizes .that .the .behavior .is .acceptable. .The .abuser
.may .even .turn .to .alcohol .and .drugs .to .curb .the .anger. .The .extreme .anger
.exhibited .during .the .acute .battering .stage. .The .abuser .releases .the .built-up
.anger .and .tension .by .brutal .and .uncontrollable .beatings. .After .the .beating .the
.client .is .calm .and .described .as ."in .shock" .or .have .have .amnesia .of .the .event.
.You .also .see .extreme .anger .in .the .escalation/de-escalation .stage.
2. .Incorrect: .The .tension .or .anxiety .would .be .felt .during .the .tension-building
.phase. .This .anger .building .stage .is .called .tension .building .stage .and .is
.characterized .by .minor .incidents .like .pushing, .shoving .and .verbal .abuse.
.During .this .time .the .abused .spouse .may .accept .the .abuse .for .fear .of .it .getting
.worse .so .the .abuser .rationalizes .that .the .behavior .is .acceptable. .The .abuser
.may .even .turn .to .alcohol .and .drugs .to .curb .the .anger. .The .extreme .anger
.exhibited .during .the .acute .battering .stage. .The .abuser .releases .the .built-up
.anger .and .tension .by .brutal .and .uncontrollable .beatings. .After .the .beating .the
.client .is .calm .and .described .as ."in .shock" .or .have .have .amnesia .of .the .event.
.You .also .see .extreme .anger .in .the .escalation/de-escalation .stage.
4. .Incorrect: .Irritability .would
A .teenage .client .with .asthma .reports .becoming .very .anxious .and .fearful .each
.time .an .asthma .attack .occurs. .What .would .be .the .nurse's .best .response .to .the
.client?
1. ."I .understand .that .you .feel .anxious. .But .you .must .stop .this .behavior."
2. ."The .feelings .that .you .described .can .occur .in .individuals .with .asthma. .You
.may .find .that .learning .relaxation .exercises .may .help."
3. ."I .am .concerned .that .feeling .anxious .during .an .asthma .attack .means .you
.need .more .education .about .asthma."
4. ."Everyone .with .asthma .experiences .tough .times .with .their .symptoms. .You
.are .learning .to .manage .your .asthma." .- .CORRECT .ANSWER-2. .Correct: .This
.statement .acknowledges .the .client's .feelings .and .then .provides .a .suggested
.strategy .that .has .been .found .to .be .useful .in .clients .with .anxiety .and .fear
.associated .with .asthma.
1. .Incorrect: .The .nurse .states .understanding .but .then .tells .the .client .to .stop .the
.behavior .without .providing .any .helpful .suggestions.
3. .Incorrect: .This .response .is .disagreeing .with .the .client's .feelings .and
.psychosocial .response .by .stating .that .more .education .about .asthma .will
.prevent .anxiety .during .an .asthma .attack.
4. .Incorrect: .This .response .dismisses .and .belittles .the .client's .feelings .and
.psychosocial .response .associated .with .asthma. .By .stating ."everyone .with
,.asthma", .the .nurse .is .making .a .stereotypical .response. .This .does .not .promote
.expressions .of .feelings .by .the .client.
Which .nursing .intervention .should .the .nurse .include .when .caring .for .a .client
.with .Alzheimer's .disease .being .admitted .to .a .long .term .care .facility?
1. .Offer .multiple .environmental .stimuli .at .the .same .time .to .provide .distraction.
2. .Encourage .the .client .to .participate .in .activities .such .as .board .games.
3. .Restrain .the .client .in .a .chair .to .prevent .falls .when .sundowning .occurs.
4. .Involve .the .client .in .supervised .walking .as .a .routine. .- .CORRECT .ANSWER-4.
.Correct: .A .regular .routine .and .physical .activity .help .client's .with .Alzheimer's
.disease .maintain .abilities .for .a .longer .period .of .time. .Physical .activities
.promote .strength, .agility .and .balance. .The .client's .walking .should .be
.supervised .for .client .safety .issues.
1. .Incorrect: .Environmental .stimuli .should .be .limited .with .clients .with
.Alzheimer's .Disease. .The .client .can .become .agitated .and/or .more .disoriented
.with .an .increase .in .environmental .stimuli.
2. .Incorrect: .Board .games .would .not .be .appropriate .due .to .the .client's
.cognitive .and .memory .impairment. .Board .games .require .complex .cognitive
.actions.
3. .Incorrect: .Restraints .should .be .avoided .because .they .increase .agitation. .The
.client .may .become .agitated .by .the .restriction .of .he .restraints. .Also .the .client
.may .perceive .the .restraints .as .a .threat.
An .alcoholic .client .was .admitted .to .the .medical .unit .with .substance-withdrawal
.delirium. .Two .days .later, .the .client .decides .to .leave .the .hospital .against
.medical .advice. .What .is .the .priority .nursing .intervention .at .this .time?
1. .Hide .the .client's .clothes .so .that .he .cannot .leave.
2. .Administer .the .ordered .sedative.
3. .Place .restraints .on .the .client.
4. .Determine .why .the .client .wants .to .leave. .- .CORRECT .ANSWER-4. .Correct:
.Always .assess .why .the .client .wishes .to .leave .first. .This .will .provide .an
.opportunity .to .attempt .to .fix .the .problem .and .possibly .revise .the .client's
.decision.
1., .2. .& .3. .Incorrect: .Confining .a .client .against .his .or .her .wishes, .except .in .an
.emergency .situation, .may .be .considered .false .imprisonment. .Actions .that .may
.invoke .these .charges .include: .locking .an .individual .in .a .room, .taking .a
.person's .clothes .for .the .purposes .of .detainment .against .his .or .her .will, .and
.retaining .in .mechanical .restraints .a .competent .voluntary .client .who .demands
.to .be .released.
A .client .who .was .diagnosed .with .paranoid .delusions .has .been .prescribed .a
.chest .x-ray. .The .client .refuses .the .chest .x-ray .and .states ."No, .they .want .to .kill
, .me .with .the .rays .from .the .x-ray .machine." .Which .nursing .response .is
.appropriate?
1. ."Do .you .think .people .want .to .kill .you .with .rays?"
2. ."You .don't .have .to .worry .that .someone .is .going .to .kill .you."
3. ."I .don't .want .you .to .talk .about .the .x-ray .technicians."
4. ."Where .did .you .get .the .idea .that .someone .was .trying .to .kill .you?" .-
.CORRECT .ANSWER-1. .Correct: .By .restating .the .client's .primary .idea .this
.reinforces .to .the .client .that .statement .has .been .heard. .This .allows .the .client .to
.clarify .the .statement .or .realize .that .the .nurse .has .understood .the .comment.
.This .is .the .therapeutic .communication .technique .of .restating.
2. .Incorrect: .The .nurse .is .using .the .nontherapeutic .communication .technique .of
.giving .reassurance. .The .nurse .is .stating .that .the .client .has .nothing .to .worry
.about. .The .client .may .feel .the .nurse .is .moderating .their .intense .concern .of .the
.possibility .of .being .killed.
3. .Incorrect: .The .nurse .is .disregarding .the .client's .concern .about .possibly
.being .killed. .The .nurse .is .redirecting .the .conversation .about .the .client .to
.concern .for .the .x-ray .technicians. .The .nurse .is .preferring .the .conversation .to
.be .focused .on .another .topic. .This .is .an .example .of .the .nontherapeutic
.communication .technique .of .introducing .an .unrelated .topic.
4. .Incorrect: .Demanding .a .reason .from .the .client .about .their .thoughts .or
.feelings .is .an .example .of .the .nontherapeutic .communication .technique .of
.requesting .an .explanation. .This .is .a .direct .question. .The .client .will .need .to
.defend .their .feelings .or .thought. .The .client .may .feel .intimidated .and .stop
.communicating .with .the .nurse.
A .client .had .a .suspicious .area .of .the .skin .biopsied .and .sent .to .the .lab .for
.analysis. .The .client .states ."I .am .worried .that .the .pathology .report .will .indicate
.cancer." .Which .response .would .the .nurse .initiate .to .assist .the .client .in
.reducing .their .anxiety?
1. ."You .are .anxious .about .the .pathology .report?"
2. ."Would .you .like .me .to .recommend .a .movie .for .you .to .watch?"
3. ."I .will .notify .your .daughter .that .you .are .concerned .about .the .pathology
.report."
4. ."Have .you .tried .taking .long, .slow .deep .breaths .and .not .thinking .negative
.thoughts?" .- .CORRECT .ANSWER-1. .Correct: .Utilizing .the .therapeutic
.communication .technique .of .restating .encourages .the .client .to .continue
.expressing .their .thoughts .and .feelings. .This .correct .response .by .the .nurse .will
.also .encourage .the .client .to .continue .verbalizing .or .clarify .their .statement .if
.needed. .Restating .is .an .effective .communication .technique .to .reduce .the
.client's .anxiety.
2. .Incorrect: .The .nurse .is .presenting .another .option .for .the .client .to .discuss
.that .is .not .related .to .the .current .conversation. .Sometimes .distraction, .a
.nontherapeutic .communication .technique, .is .used .by .the .nurse .to .reduce .their
.anxiety .which .is .not .client .driven .communication. .The .focus .of .the .nurse
.should .be .the .client. .Communication .should .be .client-centered .to .explore .client
