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Exam (elaborations)

Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Neurocognitive & Medical Psychiatry - Graded A

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Neurocognitive & Medical Psychiatry - Graded A

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Neurocognitive & Medical Psychiatry - Graded A+

Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+


TABLE OF CONTENTS

1. I. Schizophrenia Spectrum - Schizoid Detachment Limited Emotions Solitary Respect Need Solitude Gradual Engagement No Forced Socialization Supportive Assess
Psychosis, Schizotypal Odd Beliefs Magical Thinking Eccentric Nonjudgmental Assess Psychosis Rapport Social Skills Reality Testing Gentle Safety, Catatonia Stupor
Posturing Mutism Waxy Flexibility Emergency Lorazepam Benzodiazepine First Line ECT Severe Vitals Nutrition Hydration Safety, Brief Psychotic Sudden Psychosis <1
Month After Stressor Safety Antipsychotic Short Term Supportive Stressor Monitor Recurrence
2. II. Functional Neurological - Functional Neurological Symptom Disorder Weakness No Organic Cause Nonjudgmental Supportive Physical Therapy Stressor CBT Safety
Do Not Accuse Faking, Factitious Self-Induced Illness Sick Role Nonjudgmental Boundaries Avoid Unnecessary Procedures Team Communication Psychiatric Referral
Underlying Needs, Malingering Conscious Fabrication External Gain Document Objective Findings Avoid Aggressive Confrontation Team Communication Assess
Underlying Needs Do Not Reinforce Sick Role
3. III. Neurocognitive - Alzheimer Agitation Wandering Safety Environment Identification Bracelet Secure Doors Structured Routine Music Therapy Pain Hunger Toileting
Avoid Restraints Caregiver Support, Delusional Disorder Erotomanic Belief Famous Person Love Do Not Go Along Nor Argue Aggressively Therapeutic Communication
Safety Stalking Risk Antipsychotic
4. IV. Practice Questions - 120 Unique - Schizophrenia Spectrum Functional Neurological Neurocognitive
5. V. Answer Key

,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 6 - EACH QUESTION ASKED LIKE REAL EXAM

Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 6 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version

1. Case 4: A client with psychological factors affecting medical condition stress worsens asthma. What is intervention?
A. Psychological factors affecting medical stress worsens asthma - assess stress coping, CBT relaxation breathing, medical adherence, collaborative care
B. No coping assessment
C. Only medical
D. Ignore stress
Answer: A
Rationale: Psychological factors affecting medical stress worsens asthma assess stress coping CBT relaxation breathing adherence collaborative care. | Detailed
Explanation: This question tests RPN Canada competency. Correct answer A reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent
common misconceptions. Rationale includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team
communication, patient-centered care, recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
2. Case 10: A client with psychological factors affecting medical condition stress worsens asthma. What is intervention?
A. Ignore stress
B. Psychological factors affecting medical stress worsens asthma - assess stress coping, CBT relaxation breathing, medical adherence, collaborative care
C. Only medical
D. No coping assessment
Answer: B
Rationale: Psychological factors affecting medical stress worsens asthma assess stress coping CBT relaxation breathing adherence collaborative care. | Detailed
Explanation: This question tests RPN Canada competency. Correct answer B reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent
common misconceptions. Rationale includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team
communication, patient-centered care, recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
3. Case 3: A client with catatonia stupor, posturing, mutism, waxy flexibility. What is treatment?
A. Restraints only
B. Catatonia stupor posturing mutism waxy flexibility - emergency, lorazepam benzodiazepine first line, ECT if severe, monitor vitals nutrition hydration safety
C. No treatment
D. Only antipsychotic
Answer: B
Rationale: Catatonia emergency lorazepam benzodiazepine first line ECT severe vitals nutrition hydration safety. | Detailed Explanation: This question tests RPN Canada
competency. Correct answer B reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes
assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
4. Case 9: A client with neurocognitive disorder due to Alzheimer agitation, wandering. What is safety?
A. Restraints first
B. No safety
C. Alzheimer agitation wandering - safety environment, identification bracelet, secure doors, structured routine, music therapy, assess pain hunger toileting, avoid restraints,
caregiver support
D. Only medication
Answer: C
Rationale: Alzheimer safety environment identification bracelet secure doors structured routine music therapy pain hunger toileting avoid restraints caregiver support. |
Detailed Explanation: This question tests RPN Canada competency. Correct answer C reflects best practice per Canadian psychiatric nursing standards. Incorrect options
represent common misconceptions. Rationale includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team
communication, patient-centered care, recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
5. Case 10: A client with illness anxiety disorder preoccupation having serious illness despite reassurance. What is approach?
A. Repeated reassurance and tests
B. Dismiss
C. Only tests
D. Illness anxiety preoccupation serious illness despite reassurance - regular scheduled visits, avoid excessive tests reassurance, CBT, assess anxiety, therapeutic
relationship
Answer: D
Rationale: Illness anxiety regular scheduled visits avoid excessive tests reassurance CBT anxiety therapeutic relationship. | Detailed Explanation: This question tests RPN
Canada competency. Correct answer D reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale
includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
6. Case 5: A client with schizoid personality detachment, limited emotions, solitary. What is nursing approach?
A. Force socialization
B. Schizoid detachment limited emotions solitary - respect need solitude, gradual engagement, no forced socialization, supportive, assess for psychosis
C. Criticize detachment
D. No respect
Answer: B
Rationale: Schizoid respect solitude gradual engagement no forced socialization supportive assess psychosis. | Detailed Explanation: This question tests RPN Canada
competency. Correct answer B reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes
assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
7. Case 10: A client with catatonia stupor, posturing, mutism, waxy flexibility. What is treatment?
A. Restraints only
B. Only antipsychotic
C. Catatonia stupor posturing mutism waxy flexibility - emergency, lorazepam benzodiazepine first line, ECT if severe, monitor vitals nutrition hydration safety

, D. No treatment
Answer: C
Rationale: Catatonia emergency lorazepam benzodiazepine first line ECT severe vitals nutrition hydration safety. | Detailed Explanation: This question tests RPN Canada
competency. Correct answer C reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes
assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
8. Case 7: A client with neurocognitive disorder due to Alzheimer agitation, wandering. What is safety?
A. No safety
B. Alzheimer agitation wandering - safety environment, identification bracelet, secure doors, structured routine, music therapy, assess pain hunger toileting, avoid restraints,
caregiver support
C. Only medication
D. Restraints first
Answer: B
Rationale: Alzheimer safety environment identification bracelet secure doors structured routine music therapy pain hunger toileting avoid restraints caregiver support. |
Detailed Explanation: This question tests RPN Canada competency. Correct answer B reflects best practice per Canadian psychiatric nursing standards. Incorrect options
represent common misconceptions. Rationale includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team
communication, patient-centered care, recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
9. Case 10: A client with paraphilic disorder distress or harm. What is intervention?
A. Judge
B. Only punishment
C. Encourage harm
D. Paraphilic disorder distress harm - nonjudgmental but safety, assess risk, CBT, referral specialized therapy, legal considerations
Answer: D
Rationale: Paraphilic nonjudgmental safety risk CBT referral specialized therapy legal considerations. | Detailed Explanation: This question tests RPN Canada competency.
Correct answer D reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes assessment,
safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care, recovery-oriented approach.
Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
10. Case 2: A client with shared psychotic disorder folie a deux similar delusion close relationship. What is intervention?
A. Shared psychotic disorder folie a deux similar delusion close relationship - separate individuals, assess dominant partner, treat underlying psychosis, safety
B. Keep together
C. No separation
D. Only one treated
Answer: A
Rationale: Shared psychotic folie a deux separate individuals assess dominant partner treat underlying psychosis safety. | Detailed Explanation: This question tests RPN
Canada competency. Correct answer A reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale
includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
11. Case 3: A client with paraphilic disorder distress or harm. What is intervention?
A. Judge
B. Only punishment
C. Paraphilic disorder distress harm - nonjudgmental but safety, assess risk, CBT, referral specialized therapy, legal considerations
D. Encourage harm
Answer: C
Rationale: Paraphilic nonjudgmental safety risk CBT referral specialized therapy legal considerations. | Detailed Explanation: This question tests RPN Canada competency.
Correct answer C reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes assessment,
safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care, recovery-oriented approach.
Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
12. Case 1: A client with brief psychotic disorder sudden psychosis <1 month after stressor. What is intervention?
A. Ignore
B. Only long term antipsychotic
C. Brief psychotic disorder sudden psychosis <1 month after stressor - safety, antipsychotic short term, supportive, assess stressor, monitor for recurrence
D. No intervention
Answer: C
Rationale: Brief psychotic sudden <1 month after stressor safety antipsychotic short term supportive stressor monitor recurrence. | Detailed Explanation: This question tests
RPN Canada competency. Correct answer C reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions.
Rationale includes assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered
care, recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
13. Case 2: A client with schizotypal personality odd beliefs, magical thinking, eccentric. What is approach?
A. Only medication
B. Schizotypal odd beliefs magical thinking eccentric - nonjudgmental, assess psychosis, build rapport, social skills, reality testing gentle, safety
C. Confront aggressively
D. Ridicule beliefs
Answer: B
Rationale: Schizotypal nonjudgmental assess psychosis rapport social skills reality testing gentle safety. | Detailed Explanation: This question tests RPN Canada
competency. Correct answer B reflects best practice per Canadian psychiatric nursing standards. Incorrect options represent common misconceptions. Rationale includes
assessment, safety, therapeutic communication, pharmacology, ethical considerations. Ensure documentation, team communication, patient-centered care,
recovery-oriented approach. Monitor for side effects, therapeutic effects, safety risks. Apply nursing process ADPIE.
14. Case 9: A client with psychological factors affecting medical condition stress worsens asthma. What is intervention?
A. No coping assessment

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