NCLEX Psychosocial
Integrity Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A nurse is caring for a client newly diagnosed with
schizophrenia. Which is the priority nursing intervention?
A. Encourage participation in group therapy
B. Assess for hallucinations and delusions
C. Teach coping strategies
D. Promote family involvement
,Answer: B. Assess for hallucinations and delusions
Rationale: Safety and symptom assessment are priorities in
acute psychosis to determine risk of harm to self or others.
2. A client says, “Voices are telling me to run away.” What is
the nurse’s best response?
A. “Don’t listen to the voices.”
B. “I don’t hear any voices, but I believe you are hearing
them.”
C. “You are imagining things.”
D. “Why are you hearing voices?”
Answer: B. “I don’t hear any voices, but I believe you are
hearing them.”
Rationale: This validates the client’s experience without
reinforcing hallucinations.
3. Which finding indicates effective treatment for
depression?
A. Increased sleep
B. Verbalization of suicidal thoughts
C. Increased energy and participation in activities
D. Social withdrawal
Answer: C. Increased energy and participation in activities
Rationale: Improved mood and engagement indicate
treatment effectiveness.
,4. A client with suicidal ideation is placed on close
observation. What is the priority nursing action?
A. Provide private room
B. Remove all harmful objects
C. Allow family visits only
D. Encourage journaling
Answer: B. Remove all harmful objects
Rationale: Ensuring safety by eliminating means of self-
harm is the priority.
5. A client is experiencing panic attack. What should the
nurse do first?
A. Teach deep breathing
B. Leave the client alone
C. Stay with the client and speak calmly
D. Give PRN medication immediately
Answer: C. Stay with the client and speak calmly
Rationale: Presence provides reassurance and reduces
anxiety.
6. Which behavior is most characteristic of generalized
anxiety disorder?
A. Hallucinations
B. Chronic excessive worry
C. Mood swings
D. Memory loss
, Answer: B. Chronic excessive worry
Rationale: Persistent, uncontrollable worry is the hallmark
symptom.
7. A client refuses to eat due to belief food is poisoned. This
is an example of:
A. Phobia
B. Delusion
C. Obsession
D. Compulsion
Answer: B. Delusion
Rationale: Fixed false belief not based in reality.
8. Which statement by a client indicates improved coping?
A. “I can’t handle anything.”
B. “I use deep breathing when stressed.”
C. “I avoid all problems.”
D. “I feel hopeless.”
Answer: B. “I use deep breathing when stressed.”
Rationale: Use of coping strategies shows adaptation.
9. A nurse is caring for a client with PTSD. Which symptom is
expected?
A. Hallucinations
B. Flashbacks
Integrity Exam
Questions And Correct
Answers (Verified
Answers) Plus
Rationales 2025/2026
Q&A | Instant
Download Pdf
1. A nurse is caring for a client newly diagnosed with
schizophrenia. Which is the priority nursing intervention?
A. Encourage participation in group therapy
B. Assess for hallucinations and delusions
C. Teach coping strategies
D. Promote family involvement
,Answer: B. Assess for hallucinations and delusions
Rationale: Safety and symptom assessment are priorities in
acute psychosis to determine risk of harm to self or others.
2. A client says, “Voices are telling me to run away.” What is
the nurse’s best response?
A. “Don’t listen to the voices.”
B. “I don’t hear any voices, but I believe you are hearing
them.”
C. “You are imagining things.”
D. “Why are you hearing voices?”
Answer: B. “I don’t hear any voices, but I believe you are
hearing them.”
Rationale: This validates the client’s experience without
reinforcing hallucinations.
3. Which finding indicates effective treatment for
depression?
A. Increased sleep
B. Verbalization of suicidal thoughts
C. Increased energy and participation in activities
D. Social withdrawal
Answer: C. Increased energy and participation in activities
Rationale: Improved mood and engagement indicate
treatment effectiveness.
,4. A client with suicidal ideation is placed on close
observation. What is the priority nursing action?
A. Provide private room
B. Remove all harmful objects
C. Allow family visits only
D. Encourage journaling
Answer: B. Remove all harmful objects
Rationale: Ensuring safety by eliminating means of self-
harm is the priority.
5. A client is experiencing panic attack. What should the
nurse do first?
A. Teach deep breathing
B. Leave the client alone
C. Stay with the client and speak calmly
D. Give PRN medication immediately
Answer: C. Stay with the client and speak calmly
Rationale: Presence provides reassurance and reduces
anxiety.
6. Which behavior is most characteristic of generalized
anxiety disorder?
A. Hallucinations
B. Chronic excessive worry
C. Mood swings
D. Memory loss
, Answer: B. Chronic excessive worry
Rationale: Persistent, uncontrollable worry is the hallmark
symptom.
7. A client refuses to eat due to belief food is poisoned. This
is an example of:
A. Phobia
B. Delusion
C. Obsession
D. Compulsion
Answer: B. Delusion
Rationale: Fixed false belief not based in reality.
8. Which statement by a client indicates improved coping?
A. “I can’t handle anything.”
B. “I use deep breathing when stressed.”
C. “I avoid all problems.”
D. “I feel hopeless.”
Answer: B. “I use deep breathing when stressed.”
Rationale: Use of coping strategies shows adaptation.
9. A nurse is caring for a client with PTSD. Which symptom is
expected?
A. Hallucinations
B. Flashbacks
