6–12% of the NCLEX-RN
Psychosocial Integrity NCLEX practice questions
Mental health concepts, therapeutic communication, crisis intervention, substance use, abuse and neglect, grief, and coping mechanisms.
6–12%of scored items on the 2026 test plan
84Psychosocial Integrity questions in the Aegis bank
6free samples below
Question 1 Multiple choice hard
A nurse is caring for a sexual assault survivor. The most appropriate initial intervention is:
- A.Immediately bathe the client
- B.Provide a safe, private environment; preserve evidence; consult SANE (Sexual Assault Nurse Examiner); ask permission before any procedure
- C.Question the survivor in detail
- D.Inform family without consent
Show answer and rationale
Correct answer: B · Sexual assault care
Sexual assault: privacy, safety, trauma-informed care, evidence preservation (do NOT bathe before exam), SANE if available, consent for each step. Mandated reporting may apply for minors.
Question 2 Multiple choice hard
A client with a history of bipolar disorder presents with grandiosity, decreased need for sleep, pressured speech, and reckless spending. The most likely current state is:
- A.Major depressive episode
- B.Manic episode
- C.Anxiety attack
- D.PTSD flashback
Show answer and rationale
Correct answer: B · Mania recognition
Mania: DIG FAST — Distractibility, Indiscretion, Grandiosity, Flight of ideas, Activity increase, Sleep need decrease, Talkativeness/pressured speech.
Question 3 Multiple choice hard
A client is admitted involuntarily on a 72-hour hold. The client requests to leave. The nurse should:
- A.Allow the client to leave
- B.Explain the legal hold; client cannot leave AMA against involuntary commitment
- C.Sedate the client
- D.Restrain the client immediately
Show answer and rationale
Correct answer: B · Involuntary commitment rights
Under involuntary commitment, client cannot leave AMA. Right to refuse meds may still apply except in emergency. Document, notify provider, attempt de-escalation.
Question 4 Multiple choice hard
A client with major depressive disorder suddenly appears calm and energetic after weeks of depressed mood. What is the nurse's priority concern?
- A.The client is responding well to treatment
- B.The client may now have the energy to act on suicidal thoughts
- C.The client is developing mania
- D.The client is ready for discharge
Show answer and rationale
Correct answer: B · Suicide risk in depression
A sudden lift in mood in a previously depressed client is a known warning sign of suicide risk — the client may now have enough energy to carry out a plan.
Question 5 Select 4 hard
A 28-year-old client with schizophrenia tells the nurse, "The voices are telling me to hurt my roommate." Which immediate actions should the nurse take? Select 4.
- A.Take the threat seriously and ensure safety of others
- B.Notify the provider and possibly increase observation level
- C.Document specifically who, what, when
- D.Initiate safety/assault protocol per facility
- E.Tell the client the voices are not real and to ignore them
- F.Encourage the client to confront the roommate
Show answer and rationale
Correct answer: A, B, C, D · Command hallucinations safety
Command auditory hallucinations to harm others = high-risk situation. Tarasoff duty to warn applies in many jurisdictions. Take seriously, document, notify, increase observation, possibly seclusion or PRN antipsychotic. Don't argue/dispute or encourage confrontation.
Question 6 Select 4 hard
A nurse is caring for a client experiencing acute alcohol withdrawal. CIWA score is 22. Which interventions are appropriate? Select 4.
- A.Administer scheduled benzodiazepine as ordered
- B.Provide IV thiamine BEFORE glucose to prevent Wernicke encephalopathy
- C.Place in quiet, low-stimulation environment with frequent reorientation
- D.Implement seizure precautions
- E.Restrict fluids
- F.Discharge home with prescription only
Show answer and rationale
Correct answer: A, B, C, D · Severe alcohol withdrawal
Severe alcohol withdrawal (CIWA > 20): benzodiazepine schedule, thiamine BEFORE glucose, quiet environment, seizure precautions, hydration, IV access. DTs occur 48-96 hr; can be fatal.
