NCLEX Psychosocial Integrity Questions | Free Test Series

On the NCLEX, Psychosocial Integrity covers a meaningful portion of the exam: 1/10 of NCLEX-RN and NCLEX-PN questions. This area focuses on supporting patients’ mental, emotional, and social well-being in a variety of healthcare settings.

  • Identifying and responding to abuse or neglect
  • Understanding substance use and dependency issues
  • Promoting culturally sensitive care
  • Supporting mental health and coping strategies
  • Managing stress, grief, and emotional challenges
  • Creating a therapeutic and safe care environment
  • Considering patients’ spiritual and religious needs

NCLEX Psychosocial Integrity Questions

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Question 1
A client whose spouse died 3 weeks ago says,
“I still set a plate for him at dinner. Sometimes I think I hear him in the house.”
A
Tell the client this behavior is unhealthy
B
Encourage the client to join a support group
C
Recommend antidepressant medication
D
Assess whether the client can care for self and perform daily activities
Question 1 Explanation: 
Early grief can include temporary illusions and rituals. First determine if grief is affecting function before labeling it abnormal or starting treatment.
Question 2

A 45-year-old client was admitted after a myocardial infarction. During morning care, the client says,
“I’m useless now. My family would be better off without me. I can’t even work anymore.”

A
“You shouldn’t think that way. Your family needs you.”
B
“Many people recover and return to normal life.”
C
“Are you thinking about hurting yourself?”
D
“Let’s focus on your physical recovery first.”
Question 2 Explanation: 
This statement shows possible suicidal thinking. The nurse must directly assess suicide risk first, not reassure, educate, or change the topic.
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