RPNCE TEST PREP #2 QUESTIONS AND ANSWERS
Mr. Lopez 39 years old was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago Mr. Lopez cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily. The registered psych nurse reviews the dressing
change order and is unfamiliar with a type of dressing used. What is the RPNCE best
next step - Answers- Consult with the wound care specialist
Mr. Marley has completed his sessions with a psych nurse Mr. Marley for presents the
RPN with a box of chocolates how should the RPN respond - Answers- Thank Mr.
Marley and inform him that the gift will be shared with the office
Mrs. Peterson 35 years old found her husband died six months ago. He hung himself in
the basement of their home. She has been diagnosed with PTSD during a conversation
with the nurse Mr. Peterson begin to describe the incident. How should the RPN
respond - Answers- Allow her to describe the event
What is most likely Mrs. Peterson to exhibit when initially assessing her - Answers-
Intrusive thoughts
During the therapeutic relationships which of the following is considered an appropriate
action by the nurse - Answers- Share that a bereavement support group was helpful for
them after her partners death
Susan 17 years old is admitted to the psych unit. Within the past six months Susan has
lost 11 kg her current weight is 44 kg in height is 170 cm on a mission Susan is
diagnosed with an eating disorder. Susan has a great fear of waking in as many ways to
avoid eating she says to the psych nurse I can't get away this morning because I drank
a glass of juice. What is the best therapeutic response - Answers- This is where they so
let's complete your weight please step on the scale
The nurse refuses to provide care due to feeling negatively about Mr. Lopez suicide
attempt. They cannot understand how Mr. Lopez could cut his throat in front of his child.
What might the RPN be experiencing - Answers- Moral distress
Example of moral distress - Answers- Refusing to care for a client is an example of
moral distress
The nurse observe slight swelling, redness and warmth and tenderness to touch when
Mr. Lopez calf is palpated. What should the RPN suspect - Answers- Deep vein
thrombosis
LILY, FOUR YEARS OLD WAS TAKEN TO THE HOSPITAL BY POLICE AND SOCIAL
SERVICES AFTER BEING APPREHENDED FROM HER MOTHER. LILY AND HER
MOTHER WERE FOUND IN A CITY PARK SLEEPING UNDER A PARK BENCH.
, LILY'S MOTHER WAS INTOXICATED AT THE TIME. LILY HAS RECENTLY BEEN
DIAGNOSED WITH REACTIVE ATTACHMENT DISORDER AND SEVERE
MALNUTRITION during the initial assessment what presentation should the registered
psychiatric nurse most likely expect to see from Lily - Answers- Irritated sad and
withdraws from adult to try to engage
Lily is malnourished. What is she most at risk for? - Answers- Refeeding syndrome
Lilly's mother disclosed is a new incident of physical abuse towards Lily. The psychiatrist
on the team privately tells the registered psych nurse that does not need to be disclosed
as social services is already involved and Lily's mother is doing the best she can. What
should the RPN do - Answers- Phone social services
Will you approaches the nurse a day before discharge and ask what do you think will
happen to me? Am I going to be OK? How should the RPN respond - Answers-
Validate lilies fears and concerns
Mr. Marley 42 years old was recently prescribed an antidepressant medication he is
currently off of work and is getting into frequent arguments with his supportive partner
and has increased consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of the symptoms. Mr. Marley states he is under a lot of stress.
The nurse smells alcohol during an appointment Mr. Marley states this medication is
useless I have taken it for three weeks and I still feel horrible. After assessing his
alcohol use which of the RPN do - Answers- Discuss cognitive behavioural techniques
When is it appropriate to have the psychiatrist review medications? - Answers-
Mr. Marley states he has had an affair. His partner does not know when he would like to
tell him. He asked the nurse to support him with his disclosure. What should the nurse
do - Answers- Help Mr. Marley plan how to inform his partner
The nurse notices Susan has vomiting followed a meal which symptom would indicate
that vomiting as a repetitive behaviour - Answers- Dental enamel erosion
Which symptom would indicate that Susan has not had a period for four months -
Answers- Weight 15% below normal for her height
What nursing action with facilitate achieving the daily required food intake - Answers-
Provide snacks throughout the day
The RPM is responsible for facilitating a communication group for clients. Focus of the
group is to explore how effective communication scales are essential for developing
healthy interpersonal relationships. One of the group members frequently displays
disruptive emotional outpers. How should the registered psychiatric nurse respond -
Answers- Reinforce boundaries with the client
Mr. Lopez 39 years old was recently transferred to inpatient mental health from
intensive care after a serious suicide attempt. Five days ago Mr. Lopez cut his throat
with a box cutter and experienced significant blood loss. He is now medically stable and
requires dressing changes daily. The registered psych nurse reviews the dressing
change order and is unfamiliar with a type of dressing used. What is the RPNCE best
next step - Answers- Consult with the wound care specialist
Mr. Marley has completed his sessions with a psych nurse Mr. Marley for presents the
RPN with a box of chocolates how should the RPN respond - Answers- Thank Mr.
Marley and inform him that the gift will be shared with the office
Mrs. Peterson 35 years old found her husband died six months ago. He hung himself in
the basement of their home. She has been diagnosed with PTSD during a conversation
with the nurse Mr. Peterson begin to describe the incident. How should the RPN
respond - Answers- Allow her to describe the event
What is most likely Mrs. Peterson to exhibit when initially assessing her - Answers-
Intrusive thoughts
During the therapeutic relationships which of the following is considered an appropriate
action by the nurse - Answers- Share that a bereavement support group was helpful for
them after her partners death
Susan 17 years old is admitted to the psych unit. Within the past six months Susan has
lost 11 kg her current weight is 44 kg in height is 170 cm on a mission Susan is
diagnosed with an eating disorder. Susan has a great fear of waking in as many ways to
avoid eating she says to the psych nurse I can't get away this morning because I drank
a glass of juice. What is the best therapeutic response - Answers- This is where they so
let's complete your weight please step on the scale
The nurse refuses to provide care due to feeling negatively about Mr. Lopez suicide
attempt. They cannot understand how Mr. Lopez could cut his throat in front of his child.
What might the RPN be experiencing - Answers- Moral distress
Example of moral distress - Answers- Refusing to care for a client is an example of
moral distress
The nurse observe slight swelling, redness and warmth and tenderness to touch when
Mr. Lopez calf is palpated. What should the RPN suspect - Answers- Deep vein
thrombosis
LILY, FOUR YEARS OLD WAS TAKEN TO THE HOSPITAL BY POLICE AND SOCIAL
SERVICES AFTER BEING APPREHENDED FROM HER MOTHER. LILY AND HER
MOTHER WERE FOUND IN A CITY PARK SLEEPING UNDER A PARK BENCH.
, LILY'S MOTHER WAS INTOXICATED AT THE TIME. LILY HAS RECENTLY BEEN
DIAGNOSED WITH REACTIVE ATTACHMENT DISORDER AND SEVERE
MALNUTRITION during the initial assessment what presentation should the registered
psychiatric nurse most likely expect to see from Lily - Answers- Irritated sad and
withdraws from adult to try to engage
Lily is malnourished. What is she most at risk for? - Answers- Refeeding syndrome
Lilly's mother disclosed is a new incident of physical abuse towards Lily. The psychiatrist
on the team privately tells the registered psych nurse that does not need to be disclosed
as social services is already involved and Lily's mother is doing the best she can. What
should the RPN do - Answers- Phone social services
Will you approaches the nurse a day before discharge and ask what do you think will
happen to me? Am I going to be OK? How should the RPN respond - Answers-
Validate lilies fears and concerns
Mr. Marley 42 years old was recently prescribed an antidepressant medication he is
currently off of work and is getting into frequent arguments with his supportive partner
and has increased consumption of alcohol. He was referred to the psychiatric outpatient
clinic for an assessment of the symptoms. Mr. Marley states he is under a lot of stress.
The nurse smells alcohol during an appointment Mr. Marley states this medication is
useless I have taken it for three weeks and I still feel horrible. After assessing his
alcohol use which of the RPN do - Answers- Discuss cognitive behavioural techniques
When is it appropriate to have the psychiatrist review medications? - Answers-
Mr. Marley states he has had an affair. His partner does not know when he would like to
tell him. He asked the nurse to support him with his disclosure. What should the nurse
do - Answers- Help Mr. Marley plan how to inform his partner
The nurse notices Susan has vomiting followed a meal which symptom would indicate
that vomiting as a repetitive behaviour - Answers- Dental enamel erosion
Which symptom would indicate that Susan has not had a period for four months -
Answers- Weight 15% below normal for her height
What nursing action with facilitate achieving the daily required food intake - Answers-
Provide snacks throughout the day
The RPM is responsible for facilitating a communication group for clients. Focus of the
group is to explore how effective communication scales are essential for developing
healthy interpersonal relationships. One of the group members frequently displays
disruptive emotional outpers. How should the registered psychiatric nurse respond -
Answers- Reinforce boundaries with the client
