NCLEX Review Psychosocial Integrity
Exam Study Guide 2025-2026
Substance Abuse, hx:
discharge planning -Correct Answers ✔-encourage particiaption in AA meetings
with a sponsor
Spousal Abuse:
most appropriate therapy -Correct Answers ✔-abusive spouses respond to group
psychotherapy. behavior modification can be used but is not as effective as group
therapy
Lithium:
Therapeutic level 1.0 to 1.5 mEq/L -Correct Answers ✔-toxic manifestations may
occur at levels greater than 1.5 mEq/L; notify MD
Lithium Carbonate (eskalith):
Early signs of toxicity -Correct Answers ✔-Nausea, Vomiting, Slurred speech,
Muscle weakness, diarrhea, thirst, polyuria
Withold med and obtain lithium level
Lithium Carbonate (eskalith):
Advanced signs of toxicity -Correct Answers ✔-Coarse hand tremor, Ataxia, GI
upset, Mental confusion, incoordination
Anorexia:
Psychosocial Integrity NCLEX
, Psychosocial Integrity NCLEX
measurement that indicates improvement -Correct Answers ✔-ammenorrhea
resolves; DSM-IV-TR describes amenorrhea (absence of at least 3 consecutive
menstrual cycles) as a criteria measure for the dx of anorexia
Phobia:
Systemic desensitization -Correct Answers ✔-enables client to encounter phobic
object gradually while using relaxation techniques (good tx for phobia)
Alcohol withdrawal symptoms -Correct Answers ✔-increased pulse, anxiety,
tremors, insomnia, hallucinations
Narcotic withdrawal symptoms -Correct Answers ✔-tremors, cramps, watery eyes
Depression symptoms -Correct Answers ✔-withdrawn, sense of failure, lack of
energy
Cannabis derivatives withdrawal symptoms -Correct Answers ✔-insomnia,
hyperactivity, decreased appetite
Schizoaffective disorder -Correct Answers ✔-A combination of the symptoms of
schizophrenia and mood disorder.
Electroconvulsive Therapy -Correct Answers ✔-Short-term memory loss is a side
effect of ECT.
Causing temporary memory loss and confusion.
Psychosocial Integrity NCLEX