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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.


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


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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