Psychosocial Integrity & Mental Health practice test: free NCLEX-RN questions

Sample Practice Questions for Psychosocial Integrity & Mental Health

1. Question 1Ref: Psychosocial Integrity — Psychosocial Adaptation

   A client who recently experienced a sexual assault tells the nurse, I feel like it was my fault. What is the nurse's best response?

   AIt was not your fault. What happened was a crime against youBYou should talk to a therapist about these feelingsCMany survivors feel that way, but you should try to move onDYou need to report this to the police right away
   Show Answer & Explanation

   Correct Answer
   A. It was not your fault. What happened was a crime against you

   The keyed answer is "It was not your fault. What happened was a crime against you". The nurse should validate the client's feelings while clearly stating that sexual assault is never the victim's fault. Reporting and therapy recommendations are important but secondary to addressing the client's immediate emotional state and dispelling self-blame.

2. Question 2Ref: Psychosocial Integrity — Mental Health Concepts

   A client with major depressive disorder tells the nurse, I have nothing left to live for. What is the nurse's priority response?

   AEncourage the client to focus on positive experiencesBNotify the provider to increase the antidepressant doseCReassure the client that things will get betterDAsk directly if the client is thinking about suicide
   Show Answer & Explanation

   Correct Answer
   D. Ask directly if the client is thinking about suicide

   The keyed answer is "Ask directly if the client is thinking about suicide". When a client expresses hopelessness, the nurse must assess for suicidal ideation by asking directly. Research shows that asking about suicide does not increase risk. Reassurance without assessment is inappropriate and may dismiss the client's distress.