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32 multiple-choice questions and 46 flashcards on Psychosocial Integrity, about 9% of the NCLEX-RN bank. Every one carries a written rationale.
Psychosocial Integrity is one of 8 chapters in CoStudy's NCLEX-RN — Registered Nurse Licensure bank, and it holds 32 of the bank's 350 multiple-choice questions — roughly 9% 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.
2 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 says, 'I just want this to be over.' The most therapeutic nursing response is:
Answer: D — 'Tell me more about what you're feeling.'
Therapeutic communication uses open-ended exploration to draw out feelings — particularly important to assess for suicidal ideation when a statement like this is made. (A) is a 'false reassurance' blocker. (C) abandons the patient. (B) prematurely refers without first assessing.
A client with major depressive disorder is started on an SSRI. Which teaching point about the FDA boxed warning is important?
Answer: A — There is an increased risk of suicidal thoughts, especially in children, adolescents, and young adults, particularly early in treatment
A) Correct — this reflects the actual boxed warning; monitoring is especially important in the first weeks. B) Overstates the effect; depression management is often ongoing. C) Close monitoring, especially early, is essential. D) Abrupt discontinuation can cause discontinuation syndrome; changes should be discussed with the provider.
4 cards from the 46 in this chapter.
Therapeutic use of silence?
Allows the patient time to process and reflect; not always necessary to fill silence.
Alcohol withdrawal treatment?
Benzodiazepines (CIWA-Ar protocol) plus thiamine BEFORE glucose to prevent Wernicke's encephalopathy.
Antisocial personality disorder?
Disregard for others' rights, deceit, lack of remorse, impulsivity, with a history since age 15 (conduct disorder).
Defense mechanism — denial?
Refusing to acknowledge a painful reality (e.g., 'I don't have cancer').
These are a sample. The full Psychosocial Integrity chapter runs 78 items with per-chapter progress tracking, on the web and in the iOS app.