___________________________________________________________________
NCLEX-RN Psychosocial Integrity Exam 4
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
___________________________________________________________________
1. A nurse is caring for a client who has generalized anxiety disorder. Which
finding indicates severe anxiety?
A. Alert and attentive
B. Mild restlessness
C. Difficulty concentrating and hyperventilation
D. Calm demeanor
Answer: Difficulty concentrating and hyperventilation
Rationale: Severe anxiety often causes impaired concentration, hyperventilation,
and difficulty problem-solving.
2. A client states, “I hear voices telling me to hurt myself.” What is the nurse’s
priority action?
A. Ask about childhood experiences
B. Encourage journaling
C. Assess the content of the hallucinations and risk for self-harm
D. Reassure the client the voices are not real
Answer: Assess the content of the hallucinations and risk for self-harm
,Rationale: Safety is the priority. Command hallucinations require immediate
assessment of self-harm risk.
3. A client experiencing grief says, “I still cannot believe my spouse died.”
Which stage of grief is this?
A. Acceptance
B. Bargaining
C. Anger
D. Denial
Answer: Denial
Rationale: Denial is characterized by disbelief and difficulty accepting the reality
of loss.
4. Which intervention is most therapeutic for a client experiencing panic-level
anxiety?
A. Provide extensive teaching
B. Ask open-ended questions
C. Remain with the client and speak calmly
D. Encourage group participation
Answer: Remain with the client and speak calmly
Rationale: Clients in panic states benefit from calm, simple communication and
the presence of a supportive caregiver.
5. A client with depression states, “Nothing will ever get better.” The nurse
recognizes this as:
A. Delusion
B. Hallucination
C. Hopelessness
D. Confabulation
Answer: Hopelessness
, Rationale: Hopelessness is a common symptom of depression and increases
suicide risk.
6. A client diagnosed with schizophrenia avoids eye contact and speaks very
little. These are examples of:
A. Positive symptoms
B. Cognitive symptoms
C. Negative symptoms
D. Extrapyramidal symptoms
Answer: Negative symptoms
Rationale: Social withdrawal and diminished speech are negative symptoms of
schizophrenia.
7. Which statement by a client indicates effective coping?
A. “I ignore my problems.”
B. “I blame others for my stress.”
C. “I discuss my concerns with trusted friends.”
D. “I avoid difficult situations.”
Answer: “I discuss my concerns with trusted friends.”
Rationale: Seeking social support is an adaptive coping mechanism.
8. A nurse is caring for a client with bipolar disorder who is experiencing
mania. Which finding is expected?
A. Slow speech
B. Flat affect
C. Flight of ideas
D. Social isolation
Answer: Flight of ideas
Rationale: Rapidly changing thoughts and speech are characteristic of mania.
9. Which client statement suggests low self-esteem?
NCLEX-RN Psychosocial Integrity Exam 4
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
___________________________________________________________________
1. A nurse is caring for a client who has generalized anxiety disorder. Which
finding indicates severe anxiety?
A. Alert and attentive
B. Mild restlessness
C. Difficulty concentrating and hyperventilation
D. Calm demeanor
Answer: Difficulty concentrating and hyperventilation
Rationale: Severe anxiety often causes impaired concentration, hyperventilation,
and difficulty problem-solving.
2. A client states, “I hear voices telling me to hurt myself.” What is the nurse’s
priority action?
A. Ask about childhood experiences
B. Encourage journaling
C. Assess the content of the hallucinations and risk for self-harm
D. Reassure the client the voices are not real
Answer: Assess the content of the hallucinations and risk for self-harm
,Rationale: Safety is the priority. Command hallucinations require immediate
assessment of self-harm risk.
3. A client experiencing grief says, “I still cannot believe my spouse died.”
Which stage of grief is this?
A. Acceptance
B. Bargaining
C. Anger
D. Denial
Answer: Denial
Rationale: Denial is characterized by disbelief and difficulty accepting the reality
of loss.
4. Which intervention is most therapeutic for a client experiencing panic-level
anxiety?
A. Provide extensive teaching
B. Ask open-ended questions
C. Remain with the client and speak calmly
D. Encourage group participation
Answer: Remain with the client and speak calmly
Rationale: Clients in panic states benefit from calm, simple communication and
the presence of a supportive caregiver.
5. A client with depression states, “Nothing will ever get better.” The nurse
recognizes this as:
A. Delusion
B. Hallucination
C. Hopelessness
D. Confabulation
Answer: Hopelessness
, Rationale: Hopelessness is a common symptom of depression and increases
suicide risk.
6. A client diagnosed with schizophrenia avoids eye contact and speaks very
little. These are examples of:
A. Positive symptoms
B. Cognitive symptoms
C. Negative symptoms
D. Extrapyramidal symptoms
Answer: Negative symptoms
Rationale: Social withdrawal and diminished speech are negative symptoms of
schizophrenia.
7. Which statement by a client indicates effective coping?
A. “I ignore my problems.”
B. “I blame others for my stress.”
C. “I discuss my concerns with trusted friends.”
D. “I avoid difficult situations.”
Answer: “I discuss my concerns with trusted friends.”
Rationale: Seeking social support is an adaptive coping mechanism.
8. A nurse is caring for a client with bipolar disorder who is experiencing
mania. Which finding is expected?
A. Slow speech
B. Flat affect
C. Flight of ideas
D. Social isolation
Answer: Flight of ideas
Rationale: Rapidly changing thoughts and speech are characteristic of mania.
9. Which client statement suggests low self-esteem?
