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NCLEX-RN — Psychosocial Integrity（心理社会的統合性）: 90 practice questions
90 original NCLEX-RN questions on Psychosocial Integrity（心理社会的統合性）, each with an explanation and its source. Topics: Therapeutic Communication / Therapeutic Environment（治療的コミュニケーション）, Mental Health Concepts / Behavioral Interventions（精神保健・行動介入）, Substance Use, Crisis, Abuse/Neglect（物質使用・危機・虐待）, Grief/Loss, End of Life, Coping, Support Systems（悲嘆・終末期・対処）. Two free samples are below. Try 5 more free, no sign-up.
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Two Psychosocial Integrity（心理社会的統合性） questions with explanations
Open a question, choose an answer in your head, then open the explanation.
Q1 Therapeutic Communication / Therapeutic Environment（治療的コミュニケーション）
A client says, "I just don't know if I can manage at home by myself." Which response by the nurse is an example of the therapeutic technique of reflection?
- "You're worried about how you'll cope on your own at home."
- "You should ask your daughter to stay with you for a while."
- "Everything will work out once you are back in your own surroundings."
- "Why do you think you won't be able to manage?"
Show the answer and explanation
Answer: A. The correct answer is the statement that mirrors the client's feeling back ("You're worried..."). Reflection restates the emotional content of the message so the client feels heard and is invited to say more.
Sources: Nursing: Mental Health and Community Concepts (Open RN; NCBI Bookshelf), Ch. 2 Therapeutic Communication and the Nurse-Client Relationship · Nursing: Mental Health and Community Concepts (Open RN; NCBI Bookshelf), Table 2.3b Nontherapeutic Responses
Q2 Therapeutic Communication / Therapeutic Environment（治療的コミュニケーション）
Which statement by a nurse is an example of a NONtherapeutic communication technique?
- "Go on. I'm listening, and I'd like to hear more about that."
- "I'll sit here with you for a while, even if you don't feel like talking."
- "Where would you like to begin today? We can start wherever you choose."
- "Let's talk about something more cheerful, like your garden."
Show the answer and explanation
Answer: D. Changing the subject ("Let's talk about something more cheerful") is nontherapeutic because it moves away from what the client needs to discuss, usually to relieve the nurse's own discomfort.
OTHER UNITS
NCLEX-RN practice questions by unit
- Management of Care（ケアのマネジメント） 180
- Safety and Infection Prevention and Control（安全と感染予防・管理） 130
- Health Promotion and Maintenance（健康増進と維持） 90
- Basic Care and Comfort（基本的ケアと安楽） 90
- Pharmacological and Parenteral Therapies（薬理と非経口療法） 160
- Reduction of Risk Potential（リスク低減） 120
- Physiological Adaptation（生理的適応） 140
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