This NCLEX-RN practice test for Psychosocial Integrity is designed to help you prepare for your 2024 Nursing Licensure Examination. It includes 40 multiple choice questions. These questions are based on the topics included in the psychosocial integrity category of the NCLEX-RN examination. Topics covered in this practice test – include the following:
- Psychosocial Assessment
- Care of the Child and Adolescent
- Assessing for Risk
- Developing Care Plans
- Developing the Interpersonal Environment
- Communication With Patients and Families
- Resolving Conflicts
- Delegating Responsibility
- Respecting Dignity and Rights of the Patient
Each question is multiple choice with four answer options. Read the question carefully and select the best answer. If you miss the question, an explanation will pop up to help you understand. If you miss more than ten questions, you can start over and try again. Good luck!
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Question 1 of 40
1. Question
In which of the following ways can the nurse promote the sense of taste for an older adult?
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Question 2 of 40
2. Question
A nurse is caring for a client who died approximately one hour ago. The nurse notes that the client’s temperature has decreased in the last hour since his death. Which of the following processes explains this phenomenon?
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Question 3 of 40
3. Question
A nurse is caring for Mrs. T, a client with expressive aphasia. During a bath, she begins to gesture wildly and point toward the bath water, yet is unable to say anything. Which response from the nurse is most appropriate?
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Question 4 of 40
4. Question
A patient with leukemia is being taken off life support and the patient’s daughter says to the nurse “This should be my mom dying, not my dad. She has drank all these years and is still living.” Which stage of grief is the daughter in according to Kubler-Ross:
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Question 5 of 40
5. Question
Which of the following interventions is most appropriate for a client with a diagnosis of Risk for Activity Intolerance?
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Question 6 of 40
6. Question
A nurse is working with Mr. L, a client who is being seen for disrupted sleep patterns. The nurse encourages Mr. L to verbalize his feelings about sleep and his inability to maintain adequate sleep habits. What is the rationale for this action?
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Question 7 of 40
7. Question
Which of the following is an example of physical abuse?
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Question 8 of 40
8. Question
Which of the following is an example of emotional abuse?
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Question 9 of 40
9. Question
Which of the following is an example of emotional neglect?
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Question 10 of 40
10. Question
A patient has a goal of eating at least 50% of each meal. The patient refuses to eat so a nurse force feeds the patient in order for them to reach their goal of eating at least 50% of the meal. The nurse has committed ________ against this patient.
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Question 11 of 40
11. Question
A term used to describe members of the same group based on physiological characteristics, such as skin color or body structure is known as:
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Question 12 of 40
12. Question
Which of the following scenarios provides an example of a nurse overcoming a barrier to communication?
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Question 13 of 40
13. Question
A patient who is displaying the defense mechanism of Compensation would:
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Question 14 of 40
14. Question
Assuming that an elderly patient will have a difficult time understanding the directions for how to take medication is an example of:
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Question 15 of 40
15. Question
The nurse overhears the mother of a baby who was admitted to the NICU for necrotizing enterocolitis state “God, if you let my baby live, I promise I will go to church every Sunday, pray everyday and involve my family back into my life.” Which stage of grief is the mother in according to Kubler-Ross:
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Question 16 of 40
16. Question
Which of the following questions is considered, “Open Ended,”?
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Question 17 of 40
17. Question
A patient displays the following body language: Slumped shoulders, grimace, and stiff joints. What message is this patient sending?
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Question 18 of 40
18. Question
A patient who refuses to believe a terminal diagnosis is exhibiting:
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Question 19 of 40
19. Question
Which of the following may be a cultural barrier that impacts a nurse’s ability to provide care or education to the client?
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Question 20 of 40
20. Question
Which of the following is an example of low health literacy skills?
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Question 21 of 40
21. Question
A nurse is caring for an in-patient client in the hospital who is from another country and who fasts for temporary periods in order to promote his own spiritual growth. The nurse responds by saying, “You need to eat something while you are here. Food and proper nutrition is extremely important for your health.” What social philosophy is the nurse demonstrating?
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Question 22 of 40
22. Question
A nurse is using active listening as a form of therapeutic communication when:
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Question 23 of 40
23. Question
A client asks a nurse, “Do you think I should move back home after this procedure?” and the nurse responds by saying, “do you think you should move back home?” What type of therapeutic communication is the nurse representing?
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Question 24 of 40
24. Question
A nurse walks into a client’s room to find the nursing assistant yelling “sit back down or I won’t help you eat and then you will starve!” This type of behavior is known as:
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Question 25 of 40
25. Question
A nurse is talking to the daughter of a patient who just passed away following complications of a motor vehicle accident. The toxicology results reveal the patient’s blood alcohol content was 2.0. The daughter states “My dad has missed every softball game of my daughters this year and now he is gone. I cannot believe he would be so stupid as to drink and drive.” Which of the following statements by the nurse would facilitate mourning?
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Question 26 of 40
26. Question
A nurse is examining a woman who has bruises on her face and back in various stages of healing. The client states “sometimes he just gets so angry.” Which of the following statements is most appropriate as a response from the nurse?
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Question 27 of 40
27. Question
A nurse is caring for a dying client whose family wants to be with him in the operating suite. The surgeon, however, does not allow families to be present during surgery. The nurse recognizes this as an ethical dilemma. What is the initial step of the nurse when managing this situation?
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Question 28 of 40
28. Question
A nurse is assigned to care for a deaf client. During her lunch hour, she visits the hospital library and reads more about deaf culture in order to better provide appropriate care for her client. This action is an example of:
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Question 29 of 40
29. Question
Which of the following clients have a barrier to accessing healthcare?
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Question 30 of 40
30. Question
A client in a long-term care facility tells the nurse “my daughter never visits me.” The nurse responds by telling the client that when her own mother was in a long-term care facility, she found it difficult to visit. This is an example of which communication technique?
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Question 31 of 40
31. Question
A nurse caring for a pediatric client shows little concern when the parents attempt to speak with her about their daughter’s illness. When approached by the nurse manager about her behavior, the nurse responds by saying “I don’t want to get involved. It doesn’t matter what I do anyway; my work does not make much of a difference.” This nurse is exhibiting which of the following characteristics?
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Question 32 of 40
32. Question
A nurse is asked by a physician to speak to a colleague about her unprofessional behavior in front of a client. The nurse does not want to create conflict with her colleague, so she does not confront her and stays away from the physician when he comes in to work the next day. Which type of conflict resolution is this nurse exhibiting?
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Question 33 of 40
33. Question
You have accompanied the physician into the family waiting room to tell a young husband that his wife has not survived the car accident she was in. The husband is crying and distraught. What is the most appropriate approach to supporting this family member?
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Question 34 of 40
34. Question
Rachel is a 48-year-old mother of three who has been admitted after a drug overdose in a failed suicide attempt. When she regains consciousness, she states that she is ashamed and embarrassed that she tried to take her own life. What is the most therapeutic response to Rachel’s statement?
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Question 35 of 40
35. Question
A male nurse that is working on a labor and delivery unit has been pulled from providing care for a patient who is of the Islamic faith . The patient asks the charge nurse to remove her from the nurse’s assignment. The charge nurse understands, fulfills her request, and notifies the nurse. Which explanation by the charge nurse is correct?
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Question 36 of 40
36. Question
A 42 year old female was admitted to the ICU following complications after a motor vehicle accident. The patient suffered a Traumatic Brain Injury (TBI) and is now intubated and non-responsive. The patient’s daughter is 17 years old and is at the bedside alone. She is sobbing, saying “she is all I have, if she dies I want to die too”. What question by the nurse elicits the most information in evaluating the daughter’s support system?
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Question 37 of 40
37. Question
Family members of a patient ask repeated questions about the monitors and various readings in the patient’s room. What is the most supportive response to their questions?
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Question 38 of 40
38. Question
The mother of a 3-year-old pediatric patient would like to remain at the patient’s bedside throughout the night. The patient seems to be calmer when she is present. What is the most caring and appropriate response?
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Question 39 of 40
39. Question
You are caring for a Hispanic patient who is scheduled for surgery in the morning. A member of the surgery staff is in a hurry when she visits the patient to obtain surgical consent. You know that the patient speaks limited English, and can see that he does not really understand what’s being said. What is the most appropriate next action?
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Question 40 of 40
40. Question
Brandon is a 38-year-old with a history of cocaine addiction who has just been admitted for his second myocardial infarction that was due to cocaine use. What collaborative process should begin as soon as Brandon is stable enough to interact with additional resources?
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