Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Psychosis & Mood Disorders Mastery - Graded A+
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Psychotic Disorders - Schizophrenia Auditory Hallucinations Command Hallucinations Safety Assessment 1:1 Observation Remove Harmful Objects Suicidal Ideation
Plan Means Intent Therapeutic Communication Acknowledge Feelings Do Not Argue Delusions Focus Reality, Priority Safety, Antipsychotic Adherence, EPS Dystonia
Akathisia Parkinsonism Tardive Dyskinesia NMS Muscle Rigidity Fever Autonomic Instability Increased CK
2. II. Mood Disorders - Bipolar Mania Grandiosity Pressured Speech Decreased Need Sleep Flight of Ideas Low Stimulation Environment Safe Milieu Structure Limit
Setting Nutrition Hydration Sleep Lithium Valproate Antipsychotic, Major Depressive Disorder Anhedonia Weight Loss Insomnia Suicidal Ideation Plan Safety 1:1
Observation Remove Means Safety Assessment No-Suicide Contract Not Reliable SSRI Black Box
3. III. Personality Disorders - Borderline Self-Harm Fear Abandonment Splitting Consistent Boundaries Clear Expectations Therapeutic Relationship Validation DBT Skills
Distress Tolerance Emotion Regulation Safety Plan Team Communication Avoid Splitting, Risk Assessment, Coping Skills
4. IV. Addiction - Alcohol Withdrawal Tremors Tachycardia Hypertension Diaphoresis Hallucinations 24-48 Hours CIWA Benzodiazepine Lorazepam Chlordiazepoxide
Prevent Seizures DTs Thiamine Before Glucose Wernicke Fluid Electrolyte Seizure Precautions
5. V. Practice Questions - 120 Unique Scenarios Each Asked Like Real RPN Canada Exam
6. VI. Answer Key with Rationales - Graded A+
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 1 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 1 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 1: A client on lithium with level 2.0 mEq/L, nausea, vomiting, tremor, ataxia. What is action?
A. Continue lithium
B. Give more lithium
C. No action
D. Lithium toxicity level >1.5 - 2.0 nausea vomiting tremor ataxia confusion - hold lithium, check level, hydrate, assess renal function electrolytes, monitor for severe toxicity
seizures oliguria
Answer: D
Rationale: Lithium toxicity >1.5 nausea vomiting tremor ataxia confusion hold lithium check level hydrate renal function electrolytes seizures oliguria. | 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 OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
B. Encourage more washing
C. Stop compulsion abruptly
D. Punish
Answer: A
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
3. Case 4: A client with PTSD nightmares, flashbacks, hypervigilance after trauma. What is therapeutic approach?
A. Avoid trauma discussion if client not ready but encourage when ready, trauma-informed care, safety, grounding techniques, CBT prolonged exposure EMDR when stable,
assess substance use
B. Force recount trauma
C. Only medication
D. Ignore symptoms
Answer: A
Rationale: PTSD trauma-informed care safety grounding techniques CBT prolonged exposure EMDR when stable assess substance use avoid forcing recount if not ready. |
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.
4. Case 6: A client with panic disorder hyperventilation, chest pain, fear of dying. What is immediate intervention?
A. Encourage hyperventilation
B. Leave alone
C. Give caffeine
D. Panic disorder hyperventilation chest pain fear dying - stay with client, reassure, breathing techniques slow deep breathing, reduce stimuli, assess for medical cause,
teach coping grounding
Answer: D
Rationale: Panic disorder stay with client reassure breathing techniques slow deep breathing reduce stimuli assess medical cause coping grounding. | 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.
5. Case 3: A client with PTSD nightmares, flashbacks, hypervigilance after trauma. What is therapeutic approach?
A. Ignore symptoms
B. Force recount trauma
C. Avoid trauma discussion if client not ready but encourage when ready, trauma-informed care, safety, grounding techniques, CBT prolonged exposure EMDR when stable,
assess substance use
D. Only medication
Answer: C
Rationale: PTSD trauma-informed care safety grounding techniques CBT prolonged exposure EMDR when stable assess substance use avoid forcing recount if not ready. |
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.
6. Case 6: A client with dementia sundowning agitation evening confusion. What is intervention?
A. Only medication
B. High stimulation
C. Dementia sundowning agitation evening - reorient, low stimulation, consistent routine, adequate lighting, assess pain hunger toileting, avoid restraints, music therapy,
ensure safety
D. Restraints
Answer: C
Rationale: Dementia sundowning low stimulation consistent routine adequate lighting assess pain hunger toileting avoid restraints music therapy 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.
, 7. Case 2: A 28-year-old with schizophrenia experiencing auditory hallucinations says 'voices tell me to hurt myself'. What is priority nursing action?
A. Explore content of hallucinations and assess safety, 1:1 observation, remove harmful objects, assess suicidal ideation plan means intent, therapeutic communication
acknowledge feelings do not argue delusions focus reality
B. Argue with delusions
C. Ignore voices
D. Tell client voices not real and leave
Answer: A
Rationale: Schizophrenia auditory hallucinations commanding self-harm priority safety explore content assess suicidal ideation plan means intent 1:1 observation remove
harmful objects therapeutic communication acknowledge feelings do not argue delusions focus reality assess command hallucinations. | 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 3: A client with panic disorder hyperventilation, chest pain, fear of dying. What is immediate intervention?
A. Leave alone
B. Encourage hyperventilation
C. Give caffeine
D. Panic disorder hyperventilation chest pain fear dying - stay with client, reassure, breathing techniques slow deep breathing, reduce stimuli, assess for medical cause,
teach coping grounding
Answer: D
Rationale: Panic disorder stay with client reassure breathing techniques slow deep breathing reduce stimuli assess medical cause coping grounding. | 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 7: A client with OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. Encourage more washing
B. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
C. Punish
D. Stop compulsion abruptly
Answer: B
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
10. Case 9: A client with OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. Encourage more washing
B. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
C. Stop compulsion abruptly
D. Punish
Answer: B
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
11. Case 1: A client experiencing alcohol withdrawal tremors, tachycardia, hypertension, diaphoresis, hallucinations 24-48 hours after last drink. What is priority?
A. Give alcohol
B. Alcohol withdrawal CIWA assessment - priority benzodiazepine lorazepam chlordiazepoxide to prevent seizures DTs, monitor vitals, thiamine before glucose prevent
Wernicke, fluid electrolyte, safety seizure precautions
C. No medication
D. Only fluids
Answer: B
Rationale: Alcohol withdrawal CIWA benzodiazepine lorazepam chlordiazepoxide prevent seizures DTs vitals thiamine before glucose Wernicke fluid electrolyte seizure
precautions. | 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.
12. Case 3: A 28-year-old with schizophrenia experiencing auditory hallucinations says 'voices tell me to hurt myself'. What is priority nursing action?
A. Ignore voices
B. Explore content of hallucinations and assess safety, 1:1 observation, remove harmful objects, assess suicidal ideation plan means intent, therapeutic communication
acknowledge feelings do not argue delusions focus reality
C. Tell client voices not real and leave
D. Argue with delusions
Answer: B
Rationale: Schizophrenia auditory hallucinations commanding self-harm priority safety explore content assess suicidal ideation plan means intent 1:1 observation remove
harmful objects therapeutic communication acknowledge feelings do not argue delusions focus reality assess command hallucinations. | 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.
13. Case 6: A client with borderline personality disorder self-harm, fear of abandonment, splitting. What is appropriate nursing approach?
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Psychotic Disorders - Schizophrenia Auditory Hallucinations Command Hallucinations Safety Assessment 1:1 Observation Remove Harmful Objects Suicidal Ideation
Plan Means Intent Therapeutic Communication Acknowledge Feelings Do Not Argue Delusions Focus Reality, Priority Safety, Antipsychotic Adherence, EPS Dystonia
Akathisia Parkinsonism Tardive Dyskinesia NMS Muscle Rigidity Fever Autonomic Instability Increased CK
2. II. Mood Disorders - Bipolar Mania Grandiosity Pressured Speech Decreased Need Sleep Flight of Ideas Low Stimulation Environment Safe Milieu Structure Limit
Setting Nutrition Hydration Sleep Lithium Valproate Antipsychotic, Major Depressive Disorder Anhedonia Weight Loss Insomnia Suicidal Ideation Plan Safety 1:1
Observation Remove Means Safety Assessment No-Suicide Contract Not Reliable SSRI Black Box
3. III. Personality Disorders - Borderline Self-Harm Fear Abandonment Splitting Consistent Boundaries Clear Expectations Therapeutic Relationship Validation DBT Skills
Distress Tolerance Emotion Regulation Safety Plan Team Communication Avoid Splitting, Risk Assessment, Coping Skills
4. IV. Addiction - Alcohol Withdrawal Tremors Tachycardia Hypertension Diaphoresis Hallucinations 24-48 Hours CIWA Benzodiazepine Lorazepam Chlordiazepoxide
Prevent Seizures DTs Thiamine Before Glucose Wernicke Fluid Electrolyte Seizure Precautions
5. V. Practice Questions - 120 Unique Scenarios Each Asked Like Real RPN Canada Exam
6. VI. Answer Key with Rationales - Graded A+
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 1 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 1 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 1: A client on lithium with level 2.0 mEq/L, nausea, vomiting, tremor, ataxia. What is action?
A. Continue lithium
B. Give more lithium
C. No action
D. Lithium toxicity level >1.5 - 2.0 nausea vomiting tremor ataxia confusion - hold lithium, check level, hydrate, assess renal function electrolytes, monitor for severe toxicity
seizures oliguria
Answer: D
Rationale: Lithium toxicity >1.5 nausea vomiting tremor ataxia confusion hold lithium check level hydrate renal function electrolytes seizures oliguria. | 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 OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
B. Encourage more washing
C. Stop compulsion abruptly
D. Punish
Answer: A
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
3. Case 4: A client with PTSD nightmares, flashbacks, hypervigilance after trauma. What is therapeutic approach?
A. Avoid trauma discussion if client not ready but encourage when ready, trauma-informed care, safety, grounding techniques, CBT prolonged exposure EMDR when stable,
assess substance use
B. Force recount trauma
C. Only medication
D. Ignore symptoms
Answer: A
Rationale: PTSD trauma-informed care safety grounding techniques CBT prolonged exposure EMDR when stable assess substance use avoid forcing recount if not ready. |
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.
4. Case 6: A client with panic disorder hyperventilation, chest pain, fear of dying. What is immediate intervention?
A. Encourage hyperventilation
B. Leave alone
C. Give caffeine
D. Panic disorder hyperventilation chest pain fear dying - stay with client, reassure, breathing techniques slow deep breathing, reduce stimuli, assess for medical cause,
teach coping grounding
Answer: D
Rationale: Panic disorder stay with client reassure breathing techniques slow deep breathing reduce stimuli assess medical cause coping grounding. | 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.
5. Case 3: A client with PTSD nightmares, flashbacks, hypervigilance after trauma. What is therapeutic approach?
A. Ignore symptoms
B. Force recount trauma
C. Avoid trauma discussion if client not ready but encourage when ready, trauma-informed care, safety, grounding techniques, CBT prolonged exposure EMDR when stable,
assess substance use
D. Only medication
Answer: C
Rationale: PTSD trauma-informed care safety grounding techniques CBT prolonged exposure EMDR when stable assess substance use avoid forcing recount if not ready. |
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.
6. Case 6: A client with dementia sundowning agitation evening confusion. What is intervention?
A. Only medication
B. High stimulation
C. Dementia sundowning agitation evening - reorient, low stimulation, consistent routine, adequate lighting, assess pain hunger toileting, avoid restraints, music therapy,
ensure safety
D. Restraints
Answer: C
Rationale: Dementia sundowning low stimulation consistent routine adequate lighting assess pain hunger toileting avoid restraints music therapy 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.
, 7. Case 2: A 28-year-old with schizophrenia experiencing auditory hallucinations says 'voices tell me to hurt myself'. What is priority nursing action?
A. Explore content of hallucinations and assess safety, 1:1 observation, remove harmful objects, assess suicidal ideation plan means intent, therapeutic communication
acknowledge feelings do not argue delusions focus reality
B. Argue with delusions
C. Ignore voices
D. Tell client voices not real and leave
Answer: A
Rationale: Schizophrenia auditory hallucinations commanding self-harm priority safety explore content assess suicidal ideation plan means intent 1:1 observation remove
harmful objects therapeutic communication acknowledge feelings do not argue delusions focus reality assess command hallucinations. | 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 3: A client with panic disorder hyperventilation, chest pain, fear of dying. What is immediate intervention?
A. Leave alone
B. Encourage hyperventilation
C. Give caffeine
D. Panic disorder hyperventilation chest pain fear dying - stay with client, reassure, breathing techniques slow deep breathing, reduce stimuli, assess for medical cause,
teach coping grounding
Answer: D
Rationale: Panic disorder stay with client reassure breathing techniques slow deep breathing reduce stimuli assess medical cause coping grounding. | 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 7: A client with OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. Encourage more washing
B. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
C. Punish
D. Stop compulsion abruptly
Answer: B
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
10. Case 9: A client with OCD repetitive handwashing 50 times day skin breakdown. What is approach?
A. Encourage more washing
B. OCD repetitive handwashing skin breakdown - do not stop abruptly, allow time for ritual but set limits gradually, explore anxiety triggers, CBT exposure response
prevention, SSRI, skin care
C. Stop compulsion abruptly
D. Punish
Answer: B
Rationale: OCD do not stop abruptly allow time set limits gradually explore anxiety triggers CBT exposure response prevention SSRI skin 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.
11. Case 1: A client experiencing alcohol withdrawal tremors, tachycardia, hypertension, diaphoresis, hallucinations 24-48 hours after last drink. What is priority?
A. Give alcohol
B. Alcohol withdrawal CIWA assessment - priority benzodiazepine lorazepam chlordiazepoxide to prevent seizures DTs, monitor vitals, thiamine before glucose prevent
Wernicke, fluid electrolyte, safety seizure precautions
C. No medication
D. Only fluids
Answer: B
Rationale: Alcohol withdrawal CIWA benzodiazepine lorazepam chlordiazepoxide prevent seizures DTs vitals thiamine before glucose Wernicke fluid electrolyte seizure
precautions. | 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.
12. Case 3: A 28-year-old with schizophrenia experiencing auditory hallucinations says 'voices tell me to hurt myself'. What is priority nursing action?
A. Ignore voices
B. Explore content of hallucinations and assess safety, 1:1 observation, remove harmful objects, assess suicidal ideation plan means intent, therapeutic communication
acknowledge feelings do not argue delusions focus reality
C. Tell client voices not real and leave
D. Argue with delusions
Answer: B
Rationale: Schizophrenia auditory hallucinations commanding self-harm priority safety explore content assess suicidal ideation plan means intent 1:1 observation remove
harmful objects therapeutic communication acknowledge feelings do not argue delusions focus reality assess command hallucinations. | 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.
13. Case 6: A client with borderline personality disorder self-harm, fear of abandonment, splitting. What is appropriate nursing approach?
