Psychosocial Integrity Practice Questions
Master Psychosocial Integrity for the NCLEX-RN exam with comprehensive practice questions, detailed explanations, and proven study strategies.
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What You'll Learn
Psychosocial Integrity is a critical component of the NCLEX-RN exam, as it assesses a nurse's ability to provide holistic, patient-centered care that addresses the psychological, social, and emotional needs of patients. This domain covers a wide range of topics, including therapeutic communication, crisis intervention, grief and loss, abuse and neglect, and the impact of illness and hospitalization on patients and their families. Mastering this topic is essential for aspiring nurses, as it demonstrates their competence in delivering compassionate, culturally sensitive, and ethically sound nursing care.
Key Concepts
Therapeutic Communication
The process of using verbal and nonverbal communication techniques to establish a trusting, supportive relationship with patients and their families. This includes active listening, reflective statements, and the use of open-ended questions.
Crisis Intervention
The immediate, short-term assistance provided to individuals or families who are experiencing a crisis or traumatic event. This may involve de-escalating the situation, assessing for safety risks, and connecting the patient with appropriate resources and support.
Grief and Loss
The emotional, physical, and psychological responses to the death of a loved one or the loss of something significant. Nurses must be able to recognize the stages of grief, provide emotional support, and refer patients to grief counseling or support groups as needed.
Abuse and Neglect
The physical, sexual, emotional, or financial exploitation of a vulnerable individual, including children, the elderly, and those with disabilities. Nurses must be able to identify signs of abuse or neglect, report it to the appropriate authorities, and provide a safe, supportive environment for the patient.
Illness and Hospitalization
The impact that illness, injury, or hospitalization can have on a patient's psychological, social, and emotional well-being. Nurses must be able to assess and address the patient's coping strategies, support systems, and adaptations to the healthcare environment.
Common Mistakes to Avoid
- Failing to establish a therapeutic relationship with the patient and their family members
- Overlooking signs of abuse or neglect and not reporting it to the appropriate authorities
- Neglecting to assess the patient's emotional and social needs, focusing solely on their physical health
- Providing standardized, one-size-fits-all interventions without considering the patient's unique cultural, spiritual, or personal preferences
- Lacking the communication skills necessary to effectively de-escalate a crisis situation or provide emotional support to a grieving patient
Sample Psychosocial Integrity Questions
Question 1
A sibling escorts her brother to the emergency department due to disorientation and tremors. She informs the nurse that he has a history of alcohol abuse and had his last drink approximately 12 hours prior. The nurse documents a blood pressure of 140/95 mm Hg and a body temperature of 100.6 degrees Fahrenheit. What is the priority nursing intervention?
Refer to the alcohol withdrawal pathway and administer Diazepam (Valium)
(Correct)Administer Tramadol (Ultram) and monitor the patient every 30 minutes
Notify to physician on duty and administer Furosemide (Lasix)
Explain to the patient and his sibling that he is experiencing symptoms of alcohol withdrawal and will be better once the alcohol works itself out of his system
Explanation:
Correct answer: Refer to the alcohol withdrawal pathway and administer Diazepam (Valium) The nurse's priority action is to refer to the alcohol withdrawal pathway and administer Diazepam (Valium). Diazepam, a benzodiazepine, is a psychoactive drug used to manage alcohol withdrawal symptoms. The pati...
Question 2
A mother brings in her 3-year-old child and expresses concern because the child is continuously banging his head and biting himself. For which of the following mental health conditions should the nurse evaluate the child?
Stereotypic Movement Disorder
(Correct)Transient Tic Disorder
Tourette's Disorder
Encopresis
Explanation:
Correct answer: Stereotypic Movement Disorder The nurse should assess the child for Stereotypic Movement Disorder, characterized by repetitive, non-functional motor behaviors often resulting in self-inflicted harm. Symptoms include self-biting, head banging, picking at skin, and hand shaking. If the...
Question 3
A 5-year-old is admitted to the ER with a fracture. The nurse reviews the medications and sees an order for doxepin (Sinequan). What condition, other than the broken arm, is this child MOST likely being treated for?
Nocturia
(Correct)Schizophrenia
Neurosis
Phobias
Explanation:
Correct answer: Nocturia Doxepin (Sinequan), a tricyclic antidepressants medication, is most commonly prescribed for the management of nocturia or bedwetting in children. Antipsychotics like chlorpromazine (Thorazine), haloperidol (Haldol), and aripiprazole (Abilify) are frequently used to treat sch...
Study Tips for Psychosocial Integrity
Practice active listening and reflective communication techniques, such as paraphrasing and mirroring, to improve your therapeutic communication skills
Familiarize yourself with the stages of grief and the appropriate interventions for each stage
Study the risk factors, signs, and reporting requirements for various forms of abuse and neglect
Explore case studies and scenarios that highlight the impact of illness and hospitalization on a patient's psychological and social well-being
Engage in role-playing exercises to practice your crisis intervention and de-escalation skills
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Related NCLEX-RN Topics
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Frequently Asked Questions
How many Psychosocial Integrity questions are on the NCLEX-RN?
Psychosocial Integrity makes up approximately 9% of the NCLEX-RN exam. Upsero includes hundreds of practice questions covering all aspects of this topic.
How do I study for Psychosocial Integrity?
Start with understanding the key concepts, then practice with realistic exam questions. Upsero's ReadyScore tracks your mastery of Psychosocial Integrity so you know when you're ready for the real exam.
Are the practice questions similar to the real NCLEX-RN?
Yes! Our Psychosocial Integrity questions are designed to match the exact format, difficulty, and style of the actual NCLEX-RN exam. Many students say our questions are even harder than the real exam.
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