Registered Psychiatric Nurses Canada Exam - 120 Practice Questions - Eating Disorders & Anxiety Trauma Excellence - Graded A+
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Eating Disorders - Anorexia Nervosa BMI 15 Lanugo Bradycardia Amenorrhea Fear Weight Gain Medical Stabilization Vitals Electrolytes Refeeding Syndrome Risk
I&O Daily Weights Same Time Therapeutic Alliance CBT Nutrition Rehabilitation Suicidal Ideation, Bulimia Binge Purge Dental Erosion Parotid Swelling Hypokalemia
Electrolytes Potassium Cardiac Arrhythmia Dental Care CBT SSRI Fluoxetine Meal Structure Self-Esteem
2. II. Anxiety & Panic - Panic Disorder Hyperventilation Chest Pain Fear Dying Stay With Client Reassure Breathing Techniques Slow Deep Breathing Reduce Stimuli
Assess Medical Cause Coping Grounding, Phobia Fear Flying Avoidance Impacting Job Exposure Systematic Desensitization CBT Relaxation Virtual Reality SSRI Severe
3. III. Trauma - PTSD Nightmares Flashbacks Hypervigilance After Trauma Trauma-Informed Care Safety Grounding Techniques CBT Prolonged Exposure EMDR When
Stable Substance Use Assessment, Lithium Toxicity Level 2.0 Nausea Vomiting Tremor Ataxia Confusion Hold Lithium Check Level Hydrate Renal Function Electrolytes
Seizures Oliguria
4. IV. Pharmacology Emergencies - NMS Muscle Rigidity Fever 40C Autonomic Instability Increased CK Mental Status Change Emergency Stop Antipsychotic Dantrolene
Bromocriptine Hydration Cooling Vitals, Clozapine Agranulocytosis Fever Sore Throat WBC Low Emergency Stop Clozapine ANC Absolute Neutrophil Count Infection
Regular WBC ANC Monitoring Weekly Biweekly
5. V. Practice Questions - 120 Unique - Eating Anxiety Trauma Pharmacology
6. VI. Answer Key with Rationales
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 3 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 3 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 10: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Ignore safety
B. Force cleanout
C. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
D. Only medication
Answer: C
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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.
2. Case 9: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Only medication
B. Ignore safety
C. Force cleanout
D. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
Answer: D
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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 5: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
B. Force cleanout
C. Only medication
D. Ignore safety
Answer: A
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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 2: A client with substance use intoxicated, slurred speech, ataxia, nystagmus, BAC 0.25. What is priority?
A. Give more alcohol
B. Alcohol intoxication slurred speech ataxia nystagmus BAC 0.25 - priority safety, assess airway breathing, fall precautions, monitor vitals, assess for withdrawal later, do not
give alcohol
C. No safety
D. Only counseling now
Answer: B
Rationale: Alcohol intoxication safety airway breathing fall precautions vitals withdrawal later no alcohol. | 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 1: A client with phobia fear of flying avoiding travel impacting job. What is treatment?
A. No treatment
B. Only medication
C. Avoidance only
D. Phobia fear flying avoiding travel impacting job - exposure therapy systematic desensitization, CBT, relaxation breathing, virtual reality exposure, SSRI if severe
Answer: D
Rationale: Phobia exposure systematic desensitization CBT relaxation breathing virtual reality SSRI if severe. | 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 7: A client with dissociative identity disorder distinct identities, amnesia gaps. What is approach?
A. Dissociative identity disorder distinct identities amnesia gaps - trauma-informed, safety, build therapeutic alliance, grounding, integrate identities long term psychotherapy,
assess trauma history
B. Punish switching
C. Confront identities as fake
D. Ignore
Answer: A
Rationale: DID trauma-informed safety therapeutic alliance grounding integrate identities long term psychotherapy trauma history. | 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 8: A client with dissociative identity disorder distinct identities, amnesia gaps. What is approach?
, A. Ignore
B. Dissociative identity disorder distinct identities amnesia gaps - trauma-informed, safety, build therapeutic alliance, grounding, integrate identities long term psychotherapy,
assess trauma history
C. Punish switching
D. Confront identities as fake
Answer: B
Rationale: DID trauma-informed safety therapeutic alliance grounding integrate identities long term psychotherapy trauma history. | 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.
8. Case 1: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
B. No limits
C. Ignore aggression
D. Punitive only
Answer: A
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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.
9. Case 6: A client with histrionic personality dramatic, attention seeking, seductive behavior. What is nursing response?
A. Encourage seductive behavior
B. No boundaries
C. Histrionic dramatic attention seeking seductive - set boundaries, consistent approach, avoid reinforcing dramatic behavior, focus on underlying feelings, therapeutic
communication
D. Give excessive attention
Answer: C
Rationale: Histrionic set boundaries consistent approach avoid reinforcing dramatic behavior focus underlying feelings therapeutic communication. | 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.
10. Case 8: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
B. No limits
C. Ignore aggression
D. Punitive only
Answer: A
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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 2: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. No limits
B. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
C. Ignore aggression
D. Punitive only
Answer: B
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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 5: A client with insomnia difficulty falling asleep, daytime fatigue. What is sleep hygiene teaching?
A. Only sleeping pills
B. Caffeine before bed
C. Irregular schedule
D. Insomnia sleep hygiene - regular sleep schedule, avoid caffeine alcohol close bedtime, screen time, cool dark quiet room, relaxation, exercise daytime not close bedtime,
limit naps
Answer: D
Rationale: Insomnia sleep hygiene regular schedule avoid caffeine alcohol close bedtime screen time cool dark quiet relaxation exercise daytime limit naps. | 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 7: A client with trichotillomania hair pulling bald patches. What is intervention?
A. Only medication
B. Punish pulling
C. Trichotillomania hair pulling bald patches - nonjudgmental, assess triggers anxiety, habit reversal therapy, CBT, support
D. Ignore
Registered Psychiatric Nurses Canada | RPN | Psychiatric Nursing | Graded A+
TABLE OF CONTENTS
1. I. Eating Disorders - Anorexia Nervosa BMI 15 Lanugo Bradycardia Amenorrhea Fear Weight Gain Medical Stabilization Vitals Electrolytes Refeeding Syndrome Risk
I&O Daily Weights Same Time Therapeutic Alliance CBT Nutrition Rehabilitation Suicidal Ideation, Bulimia Binge Purge Dental Erosion Parotid Swelling Hypokalemia
Electrolytes Potassium Cardiac Arrhythmia Dental Care CBT SSRI Fluoxetine Meal Structure Self-Esteem
2. II. Anxiety & Panic - Panic Disorder Hyperventilation Chest Pain Fear Dying Stay With Client Reassure Breathing Techniques Slow Deep Breathing Reduce Stimuli
Assess Medical Cause Coping Grounding, Phobia Fear Flying Avoidance Impacting Job Exposure Systematic Desensitization CBT Relaxation Virtual Reality SSRI Severe
3. III. Trauma - PTSD Nightmares Flashbacks Hypervigilance After Trauma Trauma-Informed Care Safety Grounding Techniques CBT Prolonged Exposure EMDR When
Stable Substance Use Assessment, Lithium Toxicity Level 2.0 Nausea Vomiting Tremor Ataxia Confusion Hold Lithium Check Level Hydrate Renal Function Electrolytes
Seizures Oliguria
4. IV. Pharmacology Emergencies - NMS Muscle Rigidity Fever 40C Autonomic Instability Increased CK Mental Status Change Emergency Stop Antipsychotic Dantrolene
Bromocriptine Hydration Cooling Vitals, Clozapine Agranulocytosis Fever Sore Throat WBC Low Emergency Stop Clozapine ANC Absolute Neutrophil Count Infection
Regular WBC ANC Monitoring Weekly Biweekly
5. V. Practice Questions - 120 Unique - Eating Anxiety Trauma Pharmacology
6. VI. Answer Key with Rationales
,RPN CANADA EXAM - PRACTICE QUESTIONS - EXAM 3 - EACH QUESTION ASKED LIKE REAL EXAM
Based on Registered Psychiatric Nurses Canada Blueprint - Unique Content for Exam 3 - 120 Questions - Well-Asked - Graded A+ - Anti-Duplicate Version
1. Case 10: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Ignore safety
B. Force cleanout
C. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
D. Only medication
Answer: C
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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.
2. Case 9: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Only medication
B. Ignore safety
C. Force cleanout
D. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
Answer: D
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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 5: A client with hoarding disorder excessive accumulation unsafe living conditions. What is approach?
A. Hoarding excessive accumulation unsafe - nonjudgmental, safety assessment fire hazards, build rapport, CBT, harm reduction, community resources, do not force
cleanout causes distress
B. Force cleanout
C. Only medication
D. Ignore safety
Answer: A
Rationale: Hoarding nonjudgmental safety assessment fire hazards rapport CBT harm reduction community resources do not force cleanout. | 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 2: A client with substance use intoxicated, slurred speech, ataxia, nystagmus, BAC 0.25. What is priority?
A. Give more alcohol
B. Alcohol intoxication slurred speech ataxia nystagmus BAC 0.25 - priority safety, assess airway breathing, fall precautions, monitor vitals, assess for withdrawal later, do not
give alcohol
C. No safety
D. Only counseling now
Answer: B
Rationale: Alcohol intoxication safety airway breathing fall precautions vitals withdrawal later no alcohol. | 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 1: A client with phobia fear of flying avoiding travel impacting job. What is treatment?
A. No treatment
B. Only medication
C. Avoidance only
D. Phobia fear flying avoiding travel impacting job - exposure therapy systematic desensitization, CBT, relaxation breathing, virtual reality exposure, SSRI if severe
Answer: D
Rationale: Phobia exposure systematic desensitization CBT relaxation breathing virtual reality SSRI if severe. | 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 7: A client with dissociative identity disorder distinct identities, amnesia gaps. What is approach?
A. Dissociative identity disorder distinct identities amnesia gaps - trauma-informed, safety, build therapeutic alliance, grounding, integrate identities long term psychotherapy,
assess trauma history
B. Punish switching
C. Confront identities as fake
D. Ignore
Answer: A
Rationale: DID trauma-informed safety therapeutic alliance grounding integrate identities long term psychotherapy trauma history. | 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 8: A client with dissociative identity disorder distinct identities, amnesia gaps. What is approach?
, A. Ignore
B. Dissociative identity disorder distinct identities amnesia gaps - trauma-informed, safety, build therapeutic alliance, grounding, integrate identities long term psychotherapy,
assess trauma history
C. Punish switching
D. Confront identities as fake
Answer: B
Rationale: DID trauma-informed safety therapeutic alliance grounding integrate identities long term psychotherapy trauma history. | 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.
8. Case 1: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
B. No limits
C. Ignore aggression
D. Punitive only
Answer: A
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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.
9. Case 6: A client with histrionic personality dramatic, attention seeking, seductive behavior. What is nursing response?
A. Encourage seductive behavior
B. No boundaries
C. Histrionic dramatic attention seeking seductive - set boundaries, consistent approach, avoid reinforcing dramatic behavior, focus on underlying feelings, therapeutic
communication
D. Give excessive attention
Answer: C
Rationale: Histrionic set boundaries consistent approach avoid reinforcing dramatic behavior focus underlying feelings therapeutic communication. | 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.
10. Case 8: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
B. No limits
C. Ignore aggression
D. Punitive only
Answer: A
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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 2: A client with conduct disorder aggression, rule violation, cruelty to animals, age 14. What is intervention?
A. No limits
B. Conduct disorder aggression rule violation cruelty animals age 14 - firm consistent limits, structure, positive reinforcement, family therapy, skills training, assess for abuse
trauma
C. Ignore aggression
D. Punitive only
Answer: B
Rationale: Conduct disorder firm consistent limits structure positive reinforcement family therapy skills training assess abuse trauma. | 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 5: A client with insomnia difficulty falling asleep, daytime fatigue. What is sleep hygiene teaching?
A. Only sleeping pills
B. Caffeine before bed
C. Irregular schedule
D. Insomnia sleep hygiene - regular sleep schedule, avoid caffeine alcohol close bedtime, screen time, cool dark quiet room, relaxation, exercise daytime not close bedtime,
limit naps
Answer: D
Rationale: Insomnia sleep hygiene regular schedule avoid caffeine alcohol close bedtime screen time cool dark quiet relaxation exercise daytime limit naps. | 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 7: A client with trichotillomania hair pulling bald patches. What is intervention?
A. Only medication
B. Punish pulling
C. Trichotillomania hair pulling bald patches - nonjudgmental, assess triggers anxiety, habit reversal therapy, CBT, support
D. Ignore
