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Psychosocial Integrity

The Psychosocial Integrity section of the NCLEX-RN assesses a nurse’s ability to maintain the mental and emotional health of patients and their families. Below is a list of terms and concepts covered on the exam.


Abuse/Neglect

Behavioral Interventions

  • contract
  • behavior modification
  • support groups
  • positive reinforcement
  • setting limits


Chemical and Other Dependencies

  • dependencies
  • withdrawal
  • toxicities
  • support groups

Coping Mechanisms

  • accept dependency upon others
  • rationalization
  • hopefulness
  • anger


Crisis Intervention

  • social supports

Cultural Diversity


End-of-Life Care

  • financial concerns
  • fear
  • loss of control
  • role changes

Family Dynamics

  • structure
  • bonding
  • communication
  • boundaries
  • coping mechanisms

Grief and Loss


Mental Health Concepts

  • nonadherence
  • depression
  • defense mechanisms
  • symptoms of relapse

Psychopathology

Religious and Spiritual Influences on Health

  • spiritual distress
  • conflict between recommended treatment and beliefs

Sensory/Perceptual Alterations

  • hallucinations
  • delirium
  • promote adaptation

Situational Role Changes

  • spouse with chronic illness
  • death of parent
  • loss
  • new diagnosis
  • role change
  • stress


Stress Management

  • stressors
  • relaxation techniques
  • exercise
  • meditation

Support Systems


Therapeutic Communications


Therapeutic Environment

  • therapeutic milieu
  • family dynamics

Unexpected Body Image Changes

  • loss of vision
  • paralysis
  • colostomy
  • amputation
  • alopecia

Return to the main NCLEX Study Guide page


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  • Photo_user_blank_big

    mac24anurse

    over 5 years ago

    14 comments

    In working with patients of this caliber, you must be alert and with a watchful eye. Make sure that you are a good listener, and not abusive(you can't hit the patient). Some restraint may be used, but check hourly.

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