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Exam (elaborations)

Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Child & Adolescent Psychiatry Review - Graded A+

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Child & Adolescent Psychiatry Review - Graded A+

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Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Child & Adolescent Psychiatry Review - Graded A+

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


TABLE OF CONTENTS

1. I. Child Psychiatry - ADHD Inattention Hyperactivity Impulsivity School Problems Structure Routine Clear Instructions Positive Reinforcement Behavioral Therapy
Stimulant Methylphenidate Atomoxetine Academic Support, Conduct Disorder Aggression Rule Violation Cruelty Animals Age 14 Firm Consistent Limits Structure Positive
Reinforcement Family Therapy Skills Training Abuse Trauma Assessment
2. II. Conversion & Somatic - Conversion Disorder Blindness No Organic Cause After Stress Nonjudgmental Assess Stressor Do Not Confront Faking Supportive Anxiety
CBT Physical Therapy Safety, Somatic Symptom Disorder Excessive Health Worries Frequent Medical Visits Acknowledge Distress Not Dismiss Regular Scheduled Visits
Avoid Unnecessary Tests CBT Anxiety Therapeutic Relationship
3. III. Stress & Adjustment - Acute Stress Disorder After Car Accident 5 Days Ago Dissociation Anxiety Within 3 Days to 1 Month Supportive Safety Grounding Coping CBT
Monitor PTSD, Adjustment Disorder After Job Loss Tearfulness Anxiety Within 3 Months Stressor Supportive Counseling Coping Skills Suicidal Ideation CBT Resources
4. IV. Behavioral - OCD Repetitive Handwashing 50 Times Day Skin Breakdown Do Not Stop Abruptly Allow Time Set Limits Gradually Explore Anxiety Triggers CBT
Exposure Response Prevention SSRI Skin Care, Oppositional Defiant Argumentative Defiant Vindictive Age 10 Avoid Power Struggles Clear Expectations Positive
Reinforcement Parent Training Structure CBT
5. V. Practice Questions - 120 Unique - Child Conversion Adjustment OCD ODD
6. VI. Answer Key

,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 4 - EACH QUESTION ASKED LIKE REAL EXAM

Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 4 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version

1. Case 7: A client with pica eating non-food items, developmental disability. What is intervention?
A. Ignore
B. Encourage
C. Only punishment
D. Pica eating non-food items developmental disability - safety monitor, assess nutritional deficiencies, behavioral intervention, environment safe, medical evaluation
Answer: D
Rationale: Pica safety monitor nutritional deficiencies behavioral intervention environment safe medical evaluation. | 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 6: A client with dependent personality clingy, difficulty making decisions, fear abandonment. What is approach?
A. Foster dependency
B. Make all decisions for them
C. Dependent personality clingy difficulty decisions fear abandonment - encourage autonomy decision making, set boundaries, build self-confidence, assertiveness training,
CBT
D. No boundaries
Answer: C
Rationale: Dependent encourage autonomy decision making boundaries self-confidence assertiveness CBT. | 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.
3. Case 5: A client with pica eating non-food items, developmental disability. What is intervention?
A. Pica eating non-food items developmental disability - safety monitor, assess nutritional deficiencies, behavioral intervention, environment safe, medical evaluation
B. Ignore
C. Only punishment
D. Encourage
Answer: A
Rationale: Pica safety monitor nutritional deficiencies behavioral intervention environment safe medical evaluation. | 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 7: A client with intermittent explosive disorder recurrent aggressive outbursts disproportionate. What is treatment?
A. Only punishment
B. Intermittent explosive disorder recurrent aggressive outbursts disproportionate - anger management, CBT, relaxation, SSRI mood stabilizer, assess triggers, safety
C. No safety
D. Encourage aggression
Answer: B
Rationale: Intermittent explosive anger management CBT relaxation SSRI mood stabilizer triggers 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.
5. Case 9: A client with body dysmorphic disorder preoccupation perceived flaw, mirror checking. What is treatment?
A. Encourage checking
B. Agree flaw
C. Body dysmorphic preoccupation perceived flaw mirror checking - CBT, SSRI, do not reinforce preoccupation, assess self-esteem suicidal ideation
D. Only surgery
Answer: C
Rationale: Body dysmorphic CBT SSRI do not reinforce preoccupation self-esteem suicidal ideation. | 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 9: A client with factitious disorder self-induced illness seeking sick role. What is approach?
A. Only medical treatment
B. Encourage procedures
C. Confront aggressively
D. Factitious disorder self-induced illness sick role - nonjudgmental but set boundaries, avoid unnecessary procedures, team communication, psychiatric referral, assess
underlying needs
Answer: D
Rationale: Factitious nonjudgmental boundaries avoid unnecessary procedures team communication psychiatric referral underlying needs. | 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.
7. Case 8: A client with acute stress disorder after car accident 5 days ago dissociation, anxiety. What is intervention?
A. No intervention
B. Only medication

, C. Acute stress disorder after car accident 5 days ago dissociation anxiety - within 3 days to 1 month - supportive, safety, grounding, assess coping, CBT, monitor for PTSD
development
D. Ignore
Answer: C
Rationale: Acute stress disorder 3 days to 1 month supportive safety grounding coping CBT monitor PTSD. | 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 9: A client with nightmare disorder frequent distressing nightmares. What is intervention?
A. Only medication
B. Ignore
C. No intervention
D. Nightmare disorder frequent distressing nightmares - sleep hygiene, imagery rehearsal therapy, prazosin for PTSD-related, assess trauma, substance use
Answer: D
Rationale: Nightmare sleep hygiene imagery rehearsal therapy prazosin PTSD trauma substance use. | 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 10: A client with gambling disorder financial problems, chasing losses, lying. What is treatment?
A. Ignore
B. Encourage gambling
C. Only medication
D. Gambling disorder financial problems chasing losses lying - CBT, Gamblers Anonymous 12-step, financial counseling, assess suicidal ideation, limit access money
Answer: D
Rationale: Gambling CBT Gamblers Anonymous 12-step financial counseling suicidal ideation limit access money. | 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 3: A client with pica eating non-food items, developmental disability. What is intervention?
A. Pica eating non-food items developmental disability - safety monitor, assess nutritional deficiencies, behavioral intervention, environment safe, medical evaluation
B. Ignore
C. Only punishment
D. Encourage
Answer: A
Rationale: Pica safety monitor nutritional deficiencies behavioral intervention environment safe medical evaluation. | 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 4: A client with avoidant personality disorder social inhibition, fear rejection, low self-esteem. What is intervention?
A. Force social interaction
B. No support
C. Criticize
D. Avoidant personality social inhibition fear rejection low self-esteem - supportive, gradual exposure social skills, build self-esteem, CBT, therapeutic relationship
Answer: D
Rationale: Avoidant supportive gradual exposure social skills build self-esteem CBT 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.
12. Case 5: A client with dependent personality clingy, difficulty making decisions, fear abandonment. What is approach?
A. Make all decisions for them
B. Dependent personality clingy difficulty decisions fear abandonment - encourage autonomy decision making, set boundaries, build self-confidence, assertiveness training,
CBT
C. No boundaries
D. Foster dependency
Answer: B
Rationale: Dependent encourage autonomy decision making boundaries self-confidence assertiveness CBT. | 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 2: A client with dependent personality clingy, difficulty making decisions, fear abandonment. What is approach?
A. Make all decisions for them
B. No boundaries
C. Foster dependency
D. Dependent personality clingy difficulty decisions fear abandonment - encourage autonomy decision making, set boundaries, build self-confidence, assertiveness training,
CBT
Answer: D
Rationale: Dependent encourage autonomy decision making boundaries self-confidence assertiveness CBT. | 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.

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