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Exam (elaborations)

Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Sleep & Impulse Control Disorders - Graded A

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Sleep & Impulse Control Disorders - Graded A

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Sleep & Impulse Control Disorders - Graded A+

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


TABLE OF CONTENTS

1. I. Sleep & Impulse - Insomnia Difficulty Falling Asleep Daytime Fatigue Sleep Hygiene Regular Schedule Avoid Caffeine Alcohol Close Bedtime Screen Time Cool Dark
Quiet Room Relaxation Exercise Daytime Limit Naps, Sleep Apnea Snoring Daytime Sleepiness Obesity BMI Sleep Study CPAP Adherence Weight Management Sleep
Hygiene Safety Driving, Restless Legs Urge Move Legs Evening Iron Deficiency Avoid Caffeine Exercise Massage Dopaminergic Pramipexole Gabapentin Severe
2. II. Impulse Control - Kleptomania Recurrent Stealing Not Personal Use Tension Relief CBT SSRI Mood Nonjudgmental Legal Consequences Education, Pyromania
Deliberate Fire Setting Fascination Tension Relief Safety CBT Impulse Control Comorbid Legal Safety Measures, Intermittent Explosive Recurrent Aggressive Outbursts
Disproportionate Anger Management CBT Relaxation SSRI Mood Stabilizer Triggers Safety
3. III. Personality - Narcissistic Grandiosity Need Admiration Lack Empathy Boundaries Avoid Power Struggles Acknowledge Strengths Address Behavior Consistent
Approach, Avoidant Social Inhibition Fear Rejection Low Self-Esteem Supportive Gradual Exposure Social Skills Build Self-Esteem CBT Therapeutic Relationship
4. IV. Eating & Elimination - Enuresis Bedwetting Age 8 Medical Cause Behavioral Alarm Positive Reinforcement Fluid Timing Supportive Non-Punitive Family Education,
Encopresis Soiling Constipation Medical Evaluation Constipation Treatment Behavioral Toileting Routine Diet Fiber Fluids Positive Reinforcement Non-Punitive
5. V. Practice Questions - 120 Unique - Sleep Impulse Personality Elimination
6. VI. Answer Key

,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 5 - EACH QUESTION ASKED LIKE REAL EXAM

Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 5 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version

1. Case 3: A client with cannabis use disorder anxiety, amotivation. What is intervention?
A. Cannabis use disorder anxiety amotivation - motivational interviewing, CBT, assess mental health, withdrawal irritability insomnia
B. Only punishment
C. Ignore
D. Encourage use
Answer: A
Rationale: Cannabis motivational interviewing CBT mental health withdrawal irritability insomnia. | 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 4: A client with excoriation skin picking lesions. What is intervention?
A. Only medication
B. Ignore lesions
C. Punish picking
D. Excoriation skin picking lesions - habit reversal therapy, CBT, assess anxiety triggers, wound care, SSRI if needed
Answer: D
Rationale: Excoriation habit reversal CBT anxiety triggers wound care SSRI if needed. | 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.
3. Case 10: A client with language disorder difficulty expressive language. What is intervention?
A. No support
B. Only medication
C. Language disorder difficulty expressive - speech therapy, supportive communication, academic support, family involvement
D. Criticize
Answer: C
Rationale: Language disorder speech therapy supportive communication academic support family involvement. | 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 7: A client with enuresis bedwetting age 8. What is intervention?
A. Enuresis bedwetting age 8 - assess medical cause, behavioral alarm, positive reinforcement, fluid timing, supportive non-punitive, family education
B. Punish bedwetting
C. Shame
D. Only medication
Answer: A
Rationale: Enuresis assess medical behavioral alarm positive reinforcement fluid timing supportive non-punitive family education. | 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.
5. Case 10: A client with kleptomania recurrent stealing not for personal use. What is treatment?
A. Encourage stealing
B. Ignore
C. Only punishment
D. Kleptomania recurrent stealing not personal use tension relief - CBT, SSRI, assess mood, nonjudgmental, legal consequences education
Answer: D
Rationale: Kleptomania CBT SSRI mood nonjudgmental legal consequences education. | 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 8: A client with cannabis use disorder anxiety, amotivation. What is intervention?
A. Cannabis use disorder anxiety amotivation - motivational interviewing, CBT, assess mental health, withdrawal irritability insomnia
B. Encourage use
C. Only punishment
D. Ignore
Answer: A
Rationale: Cannabis motivational interviewing CBT mental health withdrawal irritability insomnia. | 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.
7. Case 7: A client with caffeine intoxication restlessness, insomnia, tachycardia after energy drinks. What is education?
A. Caffeine intoxication restlessness insomnia tachycardia energy drinks - reduce caffeine, education, monitor vitals, anxiety management
B. Only medication
C. Encourage more caffeine
D. No education
Answer: A

, Rationale: Caffeine intoxication reduce caffeine education vitals anxiety management. | 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 6: A client with pyromania deliberate fire setting fascination. What is intervention?
A. Ignore safety
B. Encourage fire setting
C. Only punishment
D. Pyromania deliberate fire setting fascination tension relief - safety, CBT, impulse control, assess comorbid, legal safety measures
Answer: D
Rationale: Pyromania safety CBT impulse control comorbid legal safety measures. | 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 5: A client with enuresis bedwetting age 8. What is intervention?
A. Punish bedwetting
B. Only medication
C. Shame
D. Enuresis bedwetting age 8 - assess medical cause, behavioral alarm, positive reinforcement, fluid timing, supportive non-punitive, family education
Answer: D
Rationale: Enuresis assess medical behavioral alarm positive reinforcement fluid timing supportive non-punitive family education. | 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 5: A client with caffeine intoxication restlessness, insomnia, tachycardia after energy drinks. What is education?
A. Encourage more caffeine
B. Only medication
C. No education
D. Caffeine intoxication restlessness insomnia tachycardia energy drinks - reduce caffeine, education, monitor vitals, anxiety management
Answer: D
Rationale: Caffeine intoxication reduce caffeine education vitals anxiety management. | 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.
11. Case 5: A client with language disorder difficulty expressive language. What is intervention?
A. No support
B. Language disorder difficulty expressive - speech therapy, supportive communication, academic support, family involvement
C. Criticize
D. Only medication
Answer: B
Rationale: Language disorder speech therapy supportive communication academic support family involvement. | 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 9: A client with narcissistic personality grandiosity, need admiration, lack empathy. What is nursing strategy?
A. Narcissistic grandiosity need admiration lack empathy - set boundaries, avoid power struggles, acknowledge strengths but address behavior, consistent approach
B. Give excessive admiration
C. Argue grandiosity
D. No boundaries
Answer: A
Rationale: Narcissistic boundaries avoid power struggles acknowledge strengths address behavior consistent approach. | 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.
13. Case 1: A client with sleep apnea snoring, daytime sleepiness, obesity. What is intervention?
A. No assessment
B. Ignore sleepiness
C. Sleep apnea snoring daytime sleepiness obesity - assess BMI, sleep study, CPAP adherence, weight management, sleep hygiene, safety driving
D. Only medication
Answer: C
Rationale: Sleep apnea BMI sleep study CPAP adherence weight management sleep hygiene safety driving. | 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.
14. Case 6: A client with restless legs syndrome urge to move legs evening. What is treatment?
A. Only caffeine
B. Ignore
C. Restless legs urge move legs evening - assess iron deficiency, avoid caffeine, exercise, massage, dopaminergic agent pramipexole gabapentin if severe
D. No treatment

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