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18 multiple-choice questions and 6 flashcards on Psychosocial Integrity, about 11% of the NCLEX-PN bank. Every one carries a written rationale.
Psychosocial Integrity is one of 8 chapters in CoStudy's NCLEX-PN bank, and it holds 18 of the bank's 162 multiple-choice questions — roughly 11% of the total. That proportion is not arbitrary: chapters follow the certifying body's published exam outline, and the number of questions in each is set by that domain's published weight, so the share of your practice time this chapter takes matches the share of the real exam it accounts for.
Studying by chapter is worth doing once you have a diagnostic score. A single overall percentage tells you whether you are close; it does not tell you which domain is dragging. Working a weak chapter in isolation, and re-testing it in isolation, is the fastest way to move a score that has stalled — and it is why the mock exams in CoStudy report by domain rather than as one number.
8 questions drawn from this chapter, with the full rationale shown — the controlling principle behind the right answer, and why each wrong option tempts and fails.
A patient with dementia is agitated at sundown. The LPN should:
Answer: C — Provide calm environment, soft lighting, and reassurance
A) Overstimulation worsens. C) Correct — sundowning improves with calm environment, familiar staff, soft cues. B) Restraints are last resort. D) Forcing increases agitation.
A patient with new cancer diagnosis says, 'There is no way I really have cancer.' The LPN recognizes this as:
Answer: C — Denial
A) Acceptance acknowledges the diagnosis. B) Anger directs blame. C) Correct — denial protects from overwhelming reality. D) Bargaining offers exchanges for outcomes.
A therapeutic response to a patient who says 'I'm worried about surgery' is:
Answer: C — 'Tell me more about what's concerning you.'
A) Dismissive — minimizes feelings. B) 'Why' questions can feel accusatory. C) Correct — open invitation to share more, validates feelings without judgment, gathers info to address concerns. D) Closing the conversation; not empathetic.
Which question by the LPN BEST screens for intimate partner violence?
Answer: A — 'Do you feel safe at home?'
B) Too narrow; abuse takes many forms. A) Correct — broad, open question encourages disclosure. C,D) Not specific enough.
Select all therapeutic communication techniques. Select all that apply.
Answer: ABDF
A,B,D,F) Therapeutic. C) Advice is non-therapeutic. E) False reassurance blocks expression.
A patient with depression refuses to get out of bed. The LPN should:
Answer: D — Set small, achievable goals and provide structured activities
A) Reinforces withdrawal. D) Correct — small steps (sitting in chair, walking to bathroom) build mastery. C) Confrontation harms therapeutic relationship. B) Dismissive.
A patient with paranoid schizophrenia refuses food, fearing poisoning. The LPN should:
Answer: B — Offer sealed, packaged foods the patient can open
A) Coercion damages trust. B) Correct — accommodates the delusion to maintain nutrition while not reinforcing it. C) Arguing reinforces. D) Skipping risks malnutrition.
A patient with a history of opioid use disorder is admitted for surgery. The LPN should:
Answer: C — Use multimodal pain control and ensure adequate analgesia
A) Undertreatment is unethical and worsens outcomes. C) Correct — adequate analgesia + non-opioid adjuncts is best practice. B) Stigmatizing. D) Unethical.
3 cards from the 6 in this chapter.
Stages of grief (Kübler-Ross)?
Denial, Anger, Bargaining, Depression, Acceptance.
Crisis intervention priority?
Ensure patient safety first. Then assess + assist in returning to baseline coping.
Therapeutic communication: example of an open-ended question?
'How are you feeling today?' (vs. yes/no closed question.)
These are a sample. The full Psychosocial Integrity chapter runs 24 items with per-chapter progress tracking, on the web and in the iOS app.