NCLEX-RN PSYCHOSOCIAL INTEGRITY COMPREHENSIVE EXAM
2026/2027 | 85 QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | 100% VERIFIED
✓ 85 QUESTIONS ✓ A+ GRADED ✓ 100% VERIFIED ✓ 2026/2027 UPDATED
NCLEX-RN Client Needs Category — Psychosocial Integrity | Core Domains: Therapeutic Communication, Mental Health Disorders,
Crisis Intervention, Behavioral Health Nursing, Substance Use Disorders, Coping Mechanisms, End-of-Life Care, Cultural & Spiritual
Considerations, Abuse & Neglect Recognition, and Patient-Centered Emotional Support | NCLEX-Aligned Content | Exam-Ready Format
VERIFIED
& GRADED
A+
85 100% A+ 10
TOTAL QUESTIONS VERIFIED ANSWERS GRADE ACHIEVED CORE DOMAINS
Exam Completion Progress
Questions Completed
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Question 1
A client with depression says, 'I don't think I can go on anymore.' What is the nurse's MOST appropriate response?
A) Don't worry, things will get better
B) Tell me more about what you're feeling
C) You have so much to live for
D) Let's focus on the positive things
Correct Answer: B) Tell me more about what you're feeling
Rationale:
, Therapeutic communication requires open-ended responses that encourage the client to express feelings. This response shows empathy and allows
further assessment of suicidal ideation. The other options minimize feelings or give false reassurance.
Therapeutic Communication
Question 2
A client experiencing a panic attack is hyperventilating. What is the priority nursing intervention?
A) Administer prescribed anti-anxiety medication
B) Stay with the client and use calm, simple statements
C) Leave the client alone to calm down
D) Ask the client to describe their feelings in detail
Correct Answer: B) Stay with the client and use calm, simple statements
Rationale:
During a panic attack, the client cannot process complex information. Staying present and using simple, calm statements provides safety and
grounding. Medication may be given but presence is priority. Leaving increases anxiety.
Crisis Intervention
Question 3
A client with schizophrenia is experiencing auditory hallucinations. Which intervention is MOST therapeutic?
A) Tell the client the voices aren't real
B) Ask the client what the voices are saying
C) Ignore the hallucinations
D) Argue with the client about reality
Correct Answer: B) Ask the client what the voices are saying
Rationale:
Acknowledging the client's experience without reinforcing delusions is therapeutic. Asking about content helps assess safety (command hallucinations).
Telling them voices aren't real dismisses their experience and damages trust.
Mental Health
, Question 4
A client in alcohol withdrawal is at risk for which life-threatening complication?
A) Hypoglycemia
B) Delirium tremens
C) Respiratory depression
D) Hypotension
Correct Answer: B) Delirium tremens
Rationale:
Delirium tremens (DTs) is the most severe alcohol withdrawal complication with 5-15% mortality. Symptoms include confusion, agitation,
hallucinations, and autonomic instability. Requires benzodiazepines and close monitoring.
Substance Use
Question 5
A grieving client says, 'I should be over this by now.' What is the best nurse response?
A) Everyone grieves differently; there's no timeline
B) You're right, you need to move on
C) Let me get you an antidepressant
D) Try to stay busy and distracted
Correct Answer: A) Everyone grieves differently; there's no timeline
Rationale:
Grief has no set timeline and varies individually. This response validates feelings without judgment. Telling them to move on minimizes grief.
Medication isn't first-line for normal grief. Distraction doesn't process emotions.
Coping Mechanisms
Question 6
A client with terminal cancer expresses fear about dying. What is the MOST appropriate nursing action?
A) Change the subject to something pleasant
, B) Tell them not to worry about it
C) Sit with the client and listen actively
D) Refer to chaplain immediately
Correct Answer: C) Sit with the client and listen actively
Rationale:
Active listening and presence are fundamental in end-of-life care. This allows the client to express fears and feel supported. Changing subjects
dismisses concerns. Chaplain referral may help but nurse should first provide support.
End-of-Life Care
Question 7
A client from a different culture avoids eye contact. The nurse should:
A) Insist on eye contact for assessment
B) Document as possible depression
C) Recognize this may be cultural respect
D) Report to the physician
Correct Answer: C) Recognize this may be cultural respect
Rationale:
In many cultures, avoiding eye contact shows respect to authority figures. Cultural competence requires understanding these differences before
pathologizing behavior. This demonstrates culturally sensitive care.
Cultural/Spiritual
Question 8
A child has unexplained bruises in various stages of healing. The nurse's priority action is to:
A) Ask the parents directly about abuse
B) Document findings and report per protocol
C) Tell the parents this is concerning
D) Wait to see if more bruises appear
2026/2027 | 85 QUESTIONS AND CORRECT ANSWERS | ALREADY
GRADED A+ | 100% VERIFIED
✓ 85 QUESTIONS ✓ A+ GRADED ✓ 100% VERIFIED ✓ 2026/2027 UPDATED
NCLEX-RN Client Needs Category — Psychosocial Integrity | Core Domains: Therapeutic Communication, Mental Health Disorders,
Crisis Intervention, Behavioral Health Nursing, Substance Use Disorders, Coping Mechanisms, End-of-Life Care, Cultural & Spiritual
Considerations, Abuse & Neglect Recognition, and Patient-Centered Emotional Support | NCLEX-Aligned Content | Exam-Ready Format
VERIFIED
& GRADED
A+
85 100% A+ 10
TOTAL QUESTIONS VERIFIED ANSWERS GRADE ACHIEVED CORE DOMAINS
Exam Completion Progress
Questions Completed
Show All Answers Hide All Answers Back to Top
Question 1
A client with depression says, 'I don't think I can go on anymore.' What is the nurse's MOST appropriate response?
A) Don't worry, things will get better
B) Tell me more about what you're feeling
C) You have so much to live for
D) Let's focus on the positive things
Correct Answer: B) Tell me more about what you're feeling
Rationale:
, Therapeutic communication requires open-ended responses that encourage the client to express feelings. This response shows empathy and allows
further assessment of suicidal ideation. The other options minimize feelings or give false reassurance.
Therapeutic Communication
Question 2
A client experiencing a panic attack is hyperventilating. What is the priority nursing intervention?
A) Administer prescribed anti-anxiety medication
B) Stay with the client and use calm, simple statements
C) Leave the client alone to calm down
D) Ask the client to describe their feelings in detail
Correct Answer: B) Stay with the client and use calm, simple statements
Rationale:
During a panic attack, the client cannot process complex information. Staying present and using simple, calm statements provides safety and
grounding. Medication may be given but presence is priority. Leaving increases anxiety.
Crisis Intervention
Question 3
A client with schizophrenia is experiencing auditory hallucinations. Which intervention is MOST therapeutic?
A) Tell the client the voices aren't real
B) Ask the client what the voices are saying
C) Ignore the hallucinations
D) Argue with the client about reality
Correct Answer: B) Ask the client what the voices are saying
Rationale:
Acknowledging the client's experience without reinforcing delusions is therapeutic. Asking about content helps assess safety (command hallucinations).
Telling them voices aren't real dismisses their experience and damages trust.
Mental Health
, Question 4
A client in alcohol withdrawal is at risk for which life-threatening complication?
A) Hypoglycemia
B) Delirium tremens
C) Respiratory depression
D) Hypotension
Correct Answer: B) Delirium tremens
Rationale:
Delirium tremens (DTs) is the most severe alcohol withdrawal complication with 5-15% mortality. Symptoms include confusion, agitation,
hallucinations, and autonomic instability. Requires benzodiazepines and close monitoring.
Substance Use
Question 5
A grieving client says, 'I should be over this by now.' What is the best nurse response?
A) Everyone grieves differently; there's no timeline
B) You're right, you need to move on
C) Let me get you an antidepressant
D) Try to stay busy and distracted
Correct Answer: A) Everyone grieves differently; there's no timeline
Rationale:
Grief has no set timeline and varies individually. This response validates feelings without judgment. Telling them to move on minimizes grief.
Medication isn't first-line for normal grief. Distraction doesn't process emotions.
Coping Mechanisms
Question 6
A client with terminal cancer expresses fear about dying. What is the MOST appropriate nursing action?
A) Change the subject to something pleasant
, B) Tell them not to worry about it
C) Sit with the client and listen actively
D) Refer to chaplain immediately
Correct Answer: C) Sit with the client and listen actively
Rationale:
Active listening and presence are fundamental in end-of-life care. This allows the client to express fears and feel supported. Changing subjects
dismisses concerns. Chaplain referral may help but nurse should first provide support.
End-of-Life Care
Question 7
A client from a different culture avoids eye contact. The nurse should:
A) Insist on eye contact for assessment
B) Document as possible depression
C) Recognize this may be cultural respect
D) Report to the physician
Correct Answer: C) Recognize this may be cultural respect
Rationale:
In many cultures, avoiding eye contact shows respect to authority figures. Cultural competence requires understanding these differences before
pathologizing behavior. This demonstrates culturally sensitive care.
Cultural/Spiritual
Question 8
A child has unexplained bruises in various stages of healing. The nurse's priority action is to:
A) Ask the parents directly about abuse
B) Document findings and report per protocol
C) Tell the parents this is concerning
D) Wait to see if more bruises appear
