NCLEX Psychosocial Integrity Exam Study
Questions and Answers with 100% Correct
(Explanation) 2025-2026
A depressed client on a psychiatric unit asks the nurse to call the hospital lawyer to
discuss writing out a will. What is the nurse's priority intervention?
Discuss thoughts and explore intent for suicide with the client.
Explanation:
Exploration of thoughts and intent are a priority based on lethality of plan for
suicide. Calling the lawyer is incorrect because it does not explore the intent of the
client’s question. The nurse would discuss the intent with the client prior to calling
the physician. Administering anxiety medication does not address the problem.
Nurses' observance of professional rituals helps standardize practice and ensure
efficiency. Which is a characteristic of rituals?
common and observable expressions of culture
Explanation:
Rituals are common and observable expressions of culture. A preconceived and
untested belief about people is called a stereotype. Viewing one’s own culture as
the only correct standard is ethnocentrism. A belief system held to varying degrees
as absolute truth is referred to as culture.
The client is Asian and non-English speaking. The nurse arranges for the
interpreter who can speak the client’s dialect and begins the health assessment. The
client is describing symptoms as numbness, feeling “hot under the skin,” and
thinking too much. The nurse should next ask specific questions about which
symptom?
pain
Explanation:
Psychosocial Integrity NCLEX
, Psychosocial Integrity NCLEX
The client may be describing symptoms of pain. Culture specific symptoms for
“feeling bad” include numbness, thinking too much, feeling hot under the skin.
Asian clients may describe pain in terms of Yin and Yang (hot and cold). Nurse’s
knowledge of pain associated with health problems is necessary to assist this client
manage pain. Clients from some cultures may associate mental health symptoms
with evil spirits and will not report them as being unusual. Clients from Asian
cultures may not describe symptoms locally but in a diffuse fashion.
Which statement made by the parent of a school-age child who has had a
craniotomy for a brain tumor would warrant further exploration by the nurse?
“After this, I will never let her out of my sight again.”
Explanation:
Parents of a child who has undergone neurosurgery can easily become
overprotective. Yet, the parents must foster independence in the convalescing child.
It is important for the child to resume age-appropriate activities, and parents play
an important role in encouraging this. Statements about going back to school
would be expected. Parents want the child to return to normal activities after a
serious illness or injury as a sign that the child is doing well.
Which behavior in a 20-month-old would lead the nurse to suspect that the child is
being abused?
absence of crying during the examination
Explanation:
Children who are being abused may demonstrate behaviors such as withdrawal,
apparent fear of parents, and lack of an appropriate reaction, such as crying and
attempting to get away when faced with a frightening event (an examination or
procedure).
When the client tells the nurse that they believes that God's reality is personal and
that God is the creator of all beings, the nurse determines the client is expressing
theism.
Explanation:
Psychosocial Integrity NCLEX