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Title: "Comprehensive Psychosocial Integrity Test Bank: 400 Practice Questions for HESI and NCLEX-RN Exams" This title highlights the focus on psychosocial integrity and emphasizes its relevance to the HESI and NCLEX-RN exams, while showcasing the$8.49
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Title: "Comprehensive Psychosocial Integrity Test Bank: 400 Practice Questions for HESI and NCLEX-RN Exams" This title highlights the focus on psychosocial integrity and emphasizes its relevance to the HESI and NCLEX-RN exams, while showcasing the
This comprehensive test bank offers 400 practice questions designed to prepare nursing students for the Psychosocial Integrity section of the HESI and NCLEX-RN exams. Covering key areas such as mental health disorders, therapeutic communication, crisis intervention, and patient education, these que...
1/100
Question 1: A nurse is assessing a patient with major depressive disorder. Which of the following
symptoms is the patient most likely to exhibit?
A) Elevated mood
B) Hyperactivity
C) Persistent sadness
D) Impulsivity
Rationale: The correct answer is C) Persistent sadness. Major depressive disorder is characterized
by a persistent feeling of sadness or a lack of interest in outside stimuli.
2/100
Question 2: Which of the following interventions is most appropriate for a patient experiencing a
panic attack?
A) Encourage the patient to talk about their feelings
B) Provide a detailed explanation of what is happening
C) Encourage deep breathing and relaxation techniques
D) Leave the patient alone to calm down
Rationale: The correct answer is C) Encourage deep breathing and relaxation techniques. These
techniques can help reduce the physical symptoms of a panic attack and provide a sense of control.
3/100
Question 3: A patient with schizophrenia is experiencing auditory hallucinations. What is the best
initial response by the nurse?
A) “Those voices aren’t real, try to ignore them.”
B) “I understand that the voices seem real to you, but I don’t hear them.”
C) “You need to stop listening to the voices.”
D) “Why do you think you are hearing voices?”
Rationale: The correct answer is B) “I understand that the voices seem real to you, but I don’t hear
them.” This response acknowledges the patient’s experience while providing reality orientation.
4/100
Question 4: A nurse is caring for a patient with borderline personality disorder (BPD). Which of the
following interventions is most important?
A) Establishing clear boundaries
B) Encouraging impulsive behavior
C) Ignoring self-harm behaviors
D) Avoiding discussions about therapy
Rationale: The correct answer is A) Establishing clear boundaries. Patients with BPD benefit from
clear and consistent boundaries to help manage their symptoms and behaviors.
, 5/100
Question 5: Which screening tool is commonly used to assess the severity of depression in
patients?
A) GAD-7
B) PHQ-9
C) MMSE
D) CAGE
Rationale: The correct answer is B) PHQ-9. The Patient Health Questionnaire-9 (PHQ-9) is a widely
used tool for assessing the severity of depression.
6/100
Question 6: A patient with generalized anxiety disorder (GAD) is experiencing muscle tension and
difficulty concentrating. Which of the following interventions should the nurse prioritize?
A) Encourage the patient to avoid caffeine
B) Suggest the patient take up a new hobby
C) Teach relaxation techniques such as progressive muscle relaxation
D) Advise the patient to increase physical activity
Rationale: The correct answer is C) Teach relaxation techniques such as progressive muscle
relaxation. These techniques can help reduce muscle tension and improve concentration.
7/100
Question 7: Which of the following symptoms is most indicative of a manic episode in a patient with
bipolar disorder?
A) Persistent sadness
B) Elevated mood and hyperactivity
C) Social withdrawal
D) Low energy and hopelessness
Rationale: The correct answer is B) Elevated mood and hyperactivity. Manic episodes in bipolar
disorder are characterized by elevated mood, increased energy, and hyperactivity.
8/100
Question 8: A nurse is providing care for a patient with schizophrenia who is experiencing
delusions. What is the most appropriate nursing intervention?
A) Challenge the patient’s delusions directly
B) Agree with the patient’s delusions to avoid conflict
C) Focus on the patient’s feelings and provide reassurance
D) Ignore the delusions and change the subject
, Rationale: The correct answer is C) Focus on the patient’s feelings and provide reassurance. This
approach helps to build trust and provides emotional support without reinforcing the delusions.
9/100
Question 9: Which of the following is a common side effect of antipsychotic medications that nurses
should monitor for in patients with schizophrenia?
A) Weight loss
B) Hyperactivity
C) Extrapyramidal symptoms (EPS)
D) Increased appetite
Rationale: The correct answer is C) Extrapyramidal symptoms (EPS). These are common side
effects of antipsychotic medications and include symptoms such as tremors, rigidity, and
bradykinesia.
10/100
Question 10: A patient with borderline personality disorder (BPD) exhibits self-harm behaviors.
What is the most appropriate initial nursing intervention?
A) Ignore the behavior to avoid reinforcing it
B) Establish a no-harm contract with the patient
C) Punish the patient for self-harm behaviors
D) Encourage the patient to discuss their feelings
Rationale: The correct answer is B) Establish a no-harm contract with the patient. This intervention
helps to set clear expectations and provides a framework for the patient to manage their behaviors
safely.
11/100
Question 11: A nurse is caring for a patient with panic disorder. Which of the following medications
is commonly prescribed for immediate relief of acute panic attacks?
A) SSRIs
B) Benzodiazepines
C) Beta-blockers
D) Antipsychotics
Rationale: The correct answer is B) Benzodiazepines. These medications are often used for their
rapid onset of action to provide immediate relief during acute panic attacks.
12/100
Question 12: Which of the following is a negative symptom of schizophrenia?
A) Hallucinations
B) Delusions
C) Disorganized thinking
, D) Flat affect
Rationale: The correct answer is D) Flat affect. Negative symptoms of schizophrenia include a lack
of emotional expression, social withdrawal, and reduced motivation.
13/100
Question 13: A patient with major depressive disorder is prescribed an SSRI. What is an important
teaching point for the nurse to include?
A) The medication will start working immediately
B) Avoid foods high in tyramine
C) It may take several weeks to feel the full effect
D) There is no need to monitor for side effects
Rationale: The correct answer is C) It may take several weeks to feel the full effect. SSRIs typically
take several weeks to reach their full therapeutic effect.
14/100
Question 14: A nurse is providing crisis intervention for a patient who has just experienced a
traumatic event. What is the first priority?
A) Encourage the patient to talk about the event in detail
B) Ensure the patient’s physical safety
C) Provide long-term counseling resources
D) Assess the patient’s coping mechanisms
Rationale: The correct answer is B) Ensure the patient’s physical safety. The immediate priority in
crisis intervention is to ensure the patient is safe and not at risk of harm.
15/100
Question 15: Which therapeutic communication technique is most effective when working with a
patient experiencing severe anxiety?
A) Giving advice
B) Offering reassurance
C) Using open-ended questions
D) Providing information
Rationale: The correct answer is B) Offering reassurance. Providing reassurance can help to calm
the patient and reduce anxiety.
16/100
Question 16: A patient with bipolar disorder is in the manic phase. Which of the following nursing
interventions is most appropriate?
A) Encourage group activities
B) Provide a low-stimulation environment
C) Allow the patient to skip meals
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