NCLEX-RN Psychosocial Integrity
6–12% of the NCLEX-RN · Psychosocial Integrity
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free Psychosocial Integrity drillA nurse performs a family assessment during a home visit for a newborn. Which findings place the child at higher risk for maltreatment? Select all that apply.
Psychosocial Integrity on the 2026 test plan
Psychosocial Integrity is 6–12% of the exam. It covers therapeutic communication, mental health conditions, substance use and withdrawal, abuse and neglect, grief and end-of-life care. The questions reward responses that keep the client safe and keep the conversation open.
- Share of the exam
- 6–12% of scored stand-alone items (we weight our mock exams at 9%)
- Client Needs category
- Psychosocial Integrity
- Our drill
- 10 questions, untimed, a rationale for every option; one free attempt, unlimited with a pass
What Psychosocial Integrity questions test
- Therapeutic communication: open-ended, reflective responses versus false reassurance, advice and “why” questions
- Assessing suicide and violence risk, and the precautions and environment that follow
- Depression, bipolar disorder, schizophrenia, anxiety and panic, PTSD, OCD, eating disorders and personality disorders
- Substance misuse, intoxication and withdrawal, including the alcohol withdrawal timeline and opioid overdose
- Delirium, dementia and depression in older adults, and how to tell them apart
- Abuse and neglect across the lifespan: assessment, documentation and mandatory reporting
- Crisis intervention, coping, support systems and life changes
- Grief, loss, end-of-life care and the expected signs of approaching death
- Cultural practices and beliefs, spiritual needs and the therapeutic milieu
Sit the full exam under the real clock
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free Psychosocial Integrity drillHow to study it
- In a communication question, pick the response that acknowledges the feeling and invites the client to say more. Eliminate anything that reassures, judges or changes the subject.
- Safety first: a client who voices a plan for self-harm needs one-to-one observation before any other intervention.
- Learn the alcohol withdrawal timeline (tremor and anxiety at 6–12 hours, seizures at 12–48 hours, delirium tremens at 48–96 hours) and what a rising CIWA score calls for.
- Delirium is acute and fluctuating with a cause to find; dementia is gradual and progressive.
Common questions
What makes a response “therapeutic” on the NCLEX?
It focuses on the client, acknowledges what they feel and invites them to continue: reflecting, restating, clarifying, offering self and silence. Nontherapeutic responses give false reassurance, advice or approval, ask “why,” change the subject or defend the staff.
What are the signs of alcohol withdrawal delirium?
Delirium tremens appears about 48 to 96 hours after the last drink: severe confusion, agitation, hallucinations, tremor, tachycardia, hypertension, fever and sweating. It is a medical emergency managed with benzodiazepines, fluids, thiamine and a safe environment.
How do I tell delirium from dementia?
Delirium starts over hours to days, fluctuates through the day, disturbs attention and often has a reversible cause such as infection, medication or dehydration. Dementia develops over months to years with a steady decline in memory and function and a clear level of consciousness.
85 questions weighted to every client-needs category, three case studies, and a score for Psychosocial Integrity so you know where you stand.
Free Psychosocial Integrity drillMore NCLEX-RN guides
- NCLEX-RN Management of Care
- NCLEX-RN Safety and Infection Prevention and Control
- NCLEX-RN Health Promotion and Maintenance
- NCLEX-RN Basic Care and Comfort
- NCLEX-RN Pharmacological and Parenteral Therapies
- NCLEX-RN Reduction of Risk Potential
- NCLEX-RN Physiological Adaptation
- NCLEX-RN for internationally educated nurses
- Retaking the NCLEX-RN
- NCLEX-RN practice exam (85 items)
Sources
- NCSBN: 2026 NCLEX-RN Test Plan (effective April 1, 2026)
- NCLEX.com: Test plans
- NCSBN: NCLEX Candidate Bulletin (October 2025): fees, retake policy, exam length and time
- NCSBN: NCLEX registration fee change effective February 1, 2027
- NCSBN: 2025 NCLEX Examination Statistics (volumes and pass rates)
- NCLEX.com FAQs: partial-credit scoring (plus/minus, zero/one, rationale)
- NCSBN: Candidate Performance Report
Original practice questions for exam preparation, written to the 2026 NCLEX-RN Test Plan. Independent practice, not affiliated with or endorsed by the National Council of State Boards of Nursing (NCSBN) or Pearson VUE. NCLEX and NCLEX-RN are registered trademarks of NCSBN.