Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Substance Use & Personality Disorders Focus - Graded A+
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Substance Use Disorders - Opioid Use Disorder Methadone Maintenance Agonist Reduces Cravings Withdrawal Blocks Euphoria Daily Observed Dosing Prevents
Withdrawal Counseling Respiratory Depression QT Prolongation Avoid Alcohol Benzos, Alcohol Intoxication Slurred Speech Ataxia Nystagmus BAC Safety Airway
Breathing Fall Precautions Vitals
2. II. Personality Disorders Cluster B - Antisocial Manipulation Lack Remorse Charm Firm Limits Consistent Boundaries Clear Consequences Do Not Be Manipulated
Safety Documentation, Histrionic Dramatic Attention Seeking Seductive Boundaries Consistent Approach Avoid Reinforcing Dramatic Behavior Underlying Feelings
3. III. Anxiety Disorders - Generalized Anxiety Excessive Worry Restlessness Muscle Tension Insomnia CBT SSRI SNRI First Line Relaxation Breathing Mindfulness
Sleep Hygiene Exercise Short Term Benzodiazepine Caution Dependence, Delirium Acute Confusion Disorientation Fluctuating Consciousness Infection Reversible
Medical Emergency Labs Vitals vs Dementia Gradual Chronic Progressive Irreversible
4. IV. Special Populations - Domestic Violence Bruises Various Stages Healing Fearful Partner Safety Private Interview Safety Plan Resources Shelter Hotline
Nonjudgmental Support Document Injuries Mandatory Reporting Do Not Confront Partner Together
5. V. Practice Questions - 120 Unique Scenarios - Substance Use Personality Anxiety Delirium Domestic Violence
6. VI. Answer Key with Rationales - Graded A+
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 2 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 2 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 2: A client with autism spectrum disorder routine disruption leads to meltdown. What is nursing approach?
A. Punish meltdown
B. Force change
C. No routine
D. Autism routine disruption meltdown - maintain routine consistency, prepare for transitions, visual schedules, low stimulation, clear communication, sensory considerations
Answer: D
Rationale: Autism maintain routine consistency prepare transitions visual schedules low stimulation clear communication sensory 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.
2. Case 2: A client with ECT post-treatment confusion, headache, memory loss. What is nursing care?
A. Leave alone
B. ECT post-treatment confusion headache memory loss - monitor vitals, orientation, safety, reassure memory loss usually temporary, headache relief, ensure airway after
anesthesia, document
C. Only restraints
D. No monitoring
Answer: B
Rationale: ECT post confusion headache memory loss monitor vitals orientation safety reassure memory temporary headache relief airway after anesthesia document. |
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 1: A client with bulimia nervosa binge purge, dental erosion, parotid swelling, hypokalemia. What is priority?
A. Only weight
B. Only diet
C. Bulimia binge purge dental erosion parotid swelling hypokalemia - monitor electrolytes especially potassium, cardiac arrhythmia risk, dental care, CBT, SSRI fluoxetine,
meal structure, assess self-esteem
D. No electrolyte monitoring
Answer: C
Rationale: Bulimia monitor electrolytes potassium cardiac arrhythmia dental erosion parotid swelling CBT SSRI fluoxetine meal structure self-esteem. | 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.
4. Case 10: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Order more tests
B. Only medical workup
C. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
D. Dismiss symptoms
Answer: C
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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 7: A client with opioid use disorder requesting methadone. What is education about methadone maintenance?
A. Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria - daily observed dosing, prevents withdrawal, requires counseling, monitor for
respiratory depression QT prolongation, avoid alcohol benzos
B. Only detox
C. Cure addiction alone
D. No counseling needed
Answer: A
Rationale: Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria daily observed dosing prevents withdrawal counseling monitor respiratory
depression QT prolongation avoid alcohol benzos. | 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.
6. Case 10: A client with opioid use disorder requesting methadone. What is education about methadone maintenance?
A. Only detox
B. No counseling needed
C. Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria - daily observed dosing, prevents withdrawal, requires counseling, monitor for
respiratory depression QT prolongation, avoid alcohol benzos
D. Cure addiction alone
Answer: C
Rationale: Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria daily observed dosing prevents withdrawal counseling monitor respiratory
depression QT prolongation avoid alcohol benzos. | 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.
, 7. Case 4: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
B. Order more tests
C. Only medical workup
D. Dismiss symptoms
Answer: A
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
8. Case 10: A client with delirium acute confusion, disorientation, fluctuating consciousness, infection. What differentiates delirium vs dementia?
A. No difference
B. Delirium gradual
C. Only dementia reversible
D. Delirium acute onset fluctuating consciousness disorientation infection meds metabolic cause reversible, dementia gradual chronic progressive irreversible - delirium
medical emergency assess cause labs vitals
Answer: D
Rationale: Delirium acute onset fluctuating consciousness disorientation infection meds metabolic reversible medical emergency assess cause vs dementia gradual chronic
progressive irreversible. | 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.
9. Case 8: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
B. Only medical workup
C. Dismiss symptoms
D. Order more tests
Answer: A
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
10. Case 3: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Dismiss symptoms
B. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
C. Only medical workup
D. Order more tests
Answer: B
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
11. Case 4: A client on clozapine with fever, sore throat, WBC low. What is concern?
A. Clozapine agranulocytosis fever sore throat WBC low - emergency stop clozapine, check ANC absolute neutrophil count, monitor for infection, clozapine requires regular
WBC ANC monitoring weekly then biweekly
B. Only antibiotics
C. No concern
D. Continue clozapine
Answer: A
Rationale: Clozapine agranulocytosis fever sore throat WBC low emergency stop clozapine check ANC monitor infection regular WBC ANC monitoring weekly biweekly. |
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.
12. Case 1: A client on clozapine with fever, sore throat, WBC low. What is concern?
A. No concern
B. Continue clozapine
C. Only antibiotics
D. Clozapine agranulocytosis fever sore throat WBC low - emergency stop clozapine, check ANC absolute neutrophil count, monitor for infection, clozapine requires regular
WBC ANC monitoring weekly then biweekly
Answer: D
Rationale: Clozapine agranulocytosis fever sore throat WBC low emergency stop clozapine check ANC monitor infection regular WBC ANC monitoring weekly biweekly. |
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.
13. Case 1: A client with autism spectrum disorder routine disruption leads to meltdown. What is nursing approach?
A. Punish meltdown
B. No routine
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Substance Use Disorders - Opioid Use Disorder Methadone Maintenance Agonist Reduces Cravings Withdrawal Blocks Euphoria Daily Observed Dosing Prevents
Withdrawal Counseling Respiratory Depression QT Prolongation Avoid Alcohol Benzos, Alcohol Intoxication Slurred Speech Ataxia Nystagmus BAC Safety Airway
Breathing Fall Precautions Vitals
2. II. Personality Disorders Cluster B - Antisocial Manipulation Lack Remorse Charm Firm Limits Consistent Boundaries Clear Consequences Do Not Be Manipulated
Safety Documentation, Histrionic Dramatic Attention Seeking Seductive Boundaries Consistent Approach Avoid Reinforcing Dramatic Behavior Underlying Feelings
3. III. Anxiety Disorders - Generalized Anxiety Excessive Worry Restlessness Muscle Tension Insomnia CBT SSRI SNRI First Line Relaxation Breathing Mindfulness
Sleep Hygiene Exercise Short Term Benzodiazepine Caution Dependence, Delirium Acute Confusion Disorientation Fluctuating Consciousness Infection Reversible
Medical Emergency Labs Vitals vs Dementia Gradual Chronic Progressive Irreversible
4. IV. Special Populations - Domestic Violence Bruises Various Stages Healing Fearful Partner Safety Private Interview Safety Plan Resources Shelter Hotline
Nonjudgmental Support Document Injuries Mandatory Reporting Do Not Confront Partner Together
5. V. Practice Questions - 120 Unique Scenarios - Substance Use Personality Anxiety Delirium Domestic Violence
6. VI. Answer Key with Rationales - Graded A+
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 2 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 2 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 2: A client with autism spectrum disorder routine disruption leads to meltdown. What is nursing approach?
A. Punish meltdown
B. Force change
C. No routine
D. Autism routine disruption meltdown - maintain routine consistency, prepare for transitions, visual schedules, low stimulation, clear communication, sensory considerations
Answer: D
Rationale: Autism maintain routine consistency prepare transitions visual schedules low stimulation clear communication sensory 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.
2. Case 2: A client with ECT post-treatment confusion, headache, memory loss. What is nursing care?
A. Leave alone
B. ECT post-treatment confusion headache memory loss - monitor vitals, orientation, safety, reassure memory loss usually temporary, headache relief, ensure airway after
anesthesia, document
C. Only restraints
D. No monitoring
Answer: B
Rationale: ECT post confusion headache memory loss monitor vitals orientation safety reassure memory temporary headache relief airway after anesthesia document. |
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 1: A client with bulimia nervosa binge purge, dental erosion, parotid swelling, hypokalemia. What is priority?
A. Only weight
B. Only diet
C. Bulimia binge purge dental erosion parotid swelling hypokalemia - monitor electrolytes especially potassium, cardiac arrhythmia risk, dental care, CBT, SSRI fluoxetine,
meal structure, assess self-esteem
D. No electrolyte monitoring
Answer: C
Rationale: Bulimia monitor electrolytes potassium cardiac arrhythmia dental erosion parotid swelling CBT SSRI fluoxetine meal structure self-esteem. | 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.
4. Case 10: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Order more tests
B. Only medical workup
C. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
D. Dismiss symptoms
Answer: C
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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 7: A client with opioid use disorder requesting methadone. What is education about methadone maintenance?
A. Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria - daily observed dosing, prevents withdrawal, requires counseling, monitor for
respiratory depression QT prolongation, avoid alcohol benzos
B. Only detox
C. Cure addiction alone
D. No counseling needed
Answer: A
Rationale: Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria daily observed dosing prevents withdrawal counseling monitor respiratory
depression QT prolongation avoid alcohol benzos. | 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.
6. Case 10: A client with opioid use disorder requesting methadone. What is education about methadone maintenance?
A. Only detox
B. No counseling needed
C. Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria - daily observed dosing, prevents withdrawal, requires counseling, monitor for
respiratory depression QT prolongation, avoid alcohol benzos
D. Cure addiction alone
Answer: C
Rationale: Methadone maintenance opioid agonist reduces cravings withdrawal blocks euphoria daily observed dosing prevents withdrawal counseling monitor respiratory
depression QT prolongation avoid alcohol benzos. | 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.
, 7. Case 4: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
B. Order more tests
C. Only medical workup
D. Dismiss symptoms
Answer: A
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
8. Case 10: A client with delirium acute confusion, disorientation, fluctuating consciousness, infection. What differentiates delirium vs dementia?
A. No difference
B. Delirium gradual
C. Only dementia reversible
D. Delirium acute onset fluctuating consciousness disorientation infection meds metabolic cause reversible, dementia gradual chronic progressive irreversible - delirium
medical emergency assess cause labs vitals
Answer: D
Rationale: Delirium acute onset fluctuating consciousness disorientation infection meds metabolic reversible medical emergency assess cause vs dementia gradual chronic
progressive irreversible. | 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.
9. Case 8: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
B. Only medical workup
C. Dismiss symptoms
D. Order more tests
Answer: A
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
10. Case 3: A client with somatic symptom disorder excessive health worries, frequent medical visits. What is approach?
A. Dismiss symptoms
B. Somatic symptom disorder excessive health worries frequent medical visits - acknowledge distress not dismiss, regular scheduled visits, avoid unnecessary tests, CBT,
assess anxiety, therapeutic relationship
C. Only medical workup
D. Order more tests
Answer: B
Rationale: Somatic symptom disorder acknowledge distress not dismiss regular scheduled visits avoid unnecessary tests CBT anxiety therapeutic relationship. | 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.
11. Case 4: A client on clozapine with fever, sore throat, WBC low. What is concern?
A. Clozapine agranulocytosis fever sore throat WBC low - emergency stop clozapine, check ANC absolute neutrophil count, monitor for infection, clozapine requires regular
WBC ANC monitoring weekly then biweekly
B. Only antibiotics
C. No concern
D. Continue clozapine
Answer: A
Rationale: Clozapine agranulocytosis fever sore throat WBC low emergency stop clozapine check ANC monitor infection regular WBC ANC monitoring weekly biweekly. |
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.
12. Case 1: A client on clozapine with fever, sore throat, WBC low. What is concern?
A. No concern
B. Continue clozapine
C. Only antibiotics
D. Clozapine agranulocytosis fever sore throat WBC low - emergency stop clozapine, check ANC absolute neutrophil count, monitor for infection, clozapine requires regular
WBC ANC monitoring weekly then biweekly
Answer: D
Rationale: Clozapine agranulocytosis fever sore throat WBC low emergency stop clozapine check ANC monitor infection regular WBC ANC monitoring weekly biweekly. |
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.
13. Case 1: A client with autism spectrum disorder routine disruption leads to meltdown. What is nursing approach?
A. Punish meltdown
B. No routine
