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NCLEX-RN Psychosocial Integrity Exam 3
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
___________________________________________________________________
1. A nurse is caring for a client who has recently lost a spouse. Which response
by the client indicates effective coping?
A. "I avoid talking about my spouse."
B. "I have joined a support group for widows."
C. "I refuse to look at old photographs."
D. "I stay isolated most of the day."
Answer: I have joined a support group for widows.
Rationale: Joining a support group demonstrates active coping and healthy
grieving by seeking emotional support and connection with others experiencing
similar losses.
2. A client with generalized anxiety disorder reports feeling constantly
worried. Which intervention is most appropriate?
A. Encourage avoidance of stressors.
B. Limit social interaction.
C. Teach relaxation techniques.
D. Discourage expression of feelings.
,Answer: Teach relaxation techniques.
Rationale: Relaxation techniques such as deep breathing and progressive muscle
relaxation help reduce anxiety and improve coping skills.
3. A nurse is assessing a client experiencing depression. Which finding requires
immediate attention?
A. Poor appetite
B. Fatigue
C. Difficulty concentrating
D. Statements about wanting to die
Answer: Statements about wanting to die
Rationale: Suicidal ideation is a priority concern because it poses an immediate
threat to the client's safety.
4. A client diagnosed with schizophrenia reports hearing voices. What is the
nurse's best response?
A. "The voices are not real."
B. "Why do you think you hear voices?"
C. "I understand that you hear voices, but I do not hear them."
D. "Ignore the voices."
Answer: I understand that you hear voices, but I do not hear them.
Rationale: This response acknowledges the client's experience without
reinforcing the hallucination.
5. A hospitalized adolescent refuses to participate in group therapy. Which
nursing action is most appropriate?
A. Force attendance.
B. Punish refusal.
C. Ignore the behavior.
D. Explore reasons for reluctance.
Answer: Explore reasons for reluctance.
, Rationale: Understanding the underlying concerns helps the nurse address
barriers and encourage participation.
6. A client experiencing panic anxiety is hyperventilating. What should the
nurse do first?
A. Teach problem-solving skills.
B. Discuss stressors.
C. Stay with the client and provide calm reassurance.
D. Leave the client alone.
Answer: Stay with the client and provide calm reassurance.
Rationale: During panic, the priority is ensuring safety and reducing anxiety
through a calm presence.
7. A nurse is caring for a client with obsessive-compulsive disorder (OCD).
Which intervention is appropriate?
A. Prevent all rituals immediately.
B. Allow time for rituals while gradually reducing them.
C. Criticize ritualistic behaviors.
D. Encourage isolation.
Answer: Allow time for rituals while gradually reducing them.
Rationale: Gradual reduction minimizes anxiety and supports long-term
behavior change.
8. Which behavior is characteristic of effective communication?
A. Interrupting frequently
B. Giving unsolicited advice
C. Changing the subject
D. Using active listening skills
Answer: Using active listening skills
Rationale: Active listening promotes trust, understanding, and therapeutic
communication.
NCLEX-RN Psychosocial Integrity Exam 3
Questions And Correct Answers (Verified
Answers) Plus Rationales 2026 Q&A
Instant Download Pdf
___________________________________________________________________
1. A nurse is caring for a client who has recently lost a spouse. Which response
by the client indicates effective coping?
A. "I avoid talking about my spouse."
B. "I have joined a support group for widows."
C. "I refuse to look at old photographs."
D. "I stay isolated most of the day."
Answer: I have joined a support group for widows.
Rationale: Joining a support group demonstrates active coping and healthy
grieving by seeking emotional support and connection with others experiencing
similar losses.
2. A client with generalized anxiety disorder reports feeling constantly
worried. Which intervention is most appropriate?
A. Encourage avoidance of stressors.
B. Limit social interaction.
C. Teach relaxation techniques.
D. Discourage expression of feelings.
,Answer: Teach relaxation techniques.
Rationale: Relaxation techniques such as deep breathing and progressive muscle
relaxation help reduce anxiety and improve coping skills.
3. A nurse is assessing a client experiencing depression. Which finding requires
immediate attention?
A. Poor appetite
B. Fatigue
C. Difficulty concentrating
D. Statements about wanting to die
Answer: Statements about wanting to die
Rationale: Suicidal ideation is a priority concern because it poses an immediate
threat to the client's safety.
4. A client diagnosed with schizophrenia reports hearing voices. What is the
nurse's best response?
A. "The voices are not real."
B. "Why do you think you hear voices?"
C. "I understand that you hear voices, but I do not hear them."
D. "Ignore the voices."
Answer: I understand that you hear voices, but I do not hear them.
Rationale: This response acknowledges the client's experience without
reinforcing the hallucination.
5. A hospitalized adolescent refuses to participate in group therapy. Which
nursing action is most appropriate?
A. Force attendance.
B. Punish refusal.
C. Ignore the behavior.
D. Explore reasons for reluctance.
Answer: Explore reasons for reluctance.
, Rationale: Understanding the underlying concerns helps the nurse address
barriers and encourage participation.
6. A client experiencing panic anxiety is hyperventilating. What should the
nurse do first?
A. Teach problem-solving skills.
B. Discuss stressors.
C. Stay with the client and provide calm reassurance.
D. Leave the client alone.
Answer: Stay with the client and provide calm reassurance.
Rationale: During panic, the priority is ensuring safety and reducing anxiety
through a calm presence.
7. A nurse is caring for a client with obsessive-compulsive disorder (OCD).
Which intervention is appropriate?
A. Prevent all rituals immediately.
B. Allow time for rituals while gradually reducing them.
C. Criticize ritualistic behaviors.
D. Encourage isolation.
Answer: Allow time for rituals while gradually reducing them.
Rationale: Gradual reduction minimizes anxiety and supports long-term
behavior change.
8. Which behavior is characteristic of effective communication?
A. Interrupting frequently
B. Giving unsolicited advice
C. Changing the subject
D. Using active listening skills
Answer: Using active listening skills
Rationale: Active listening promotes trust, understanding, and therapeutic
communication.
