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Exam (elaborations)

Rpnce Practice Test 2 Questions With Complete Answers

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RPNCE PRACTICE TEST 2 QUESTIONS WITH COMPLETE ANSWERS

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Mr. Marley, 42 years old, was recently prescribed an antidepressant medication. He is
currently off work, is getting into frequent arguments with his supportive partner and
has increased his consumption of alcohol. He was referred to the psychiatric
outpatient clinic for an assessment of his symptoms. Mr. Marley states that he is under
a lot of stress.
The RPN smells alcohol during an appointment. Mr. Marley states, "This medication is
useless; I have taken it for 3 weeks and I still feel horrible." After assessing his alcohol
use, what should the RPN do?


A). Refer Mr. Marley to the psychiatrist for a medication review
B). Instruct Mr. Marley to discontinue the medication

,C). Discuss cognitive behavioural techniques
D). Provide him with information on Alcoholics Anonymous


Give this one a try later!


discuss cognitive behavioural techniques




Mrs. Ryan, 42 years old, is an outpatient who was diagnosed with depression and
started on fluoxetine (Prozac) 4 weeks ago. The client tells the RPN that she has a low
libido. How should the RPN respond?


A). Teach Mrs. Ryan about the connection between mood and libido
B). Advocate for a change in Mrs. Ryan's medications
C). Inquire about Mrs. Ryan's relationship with her husband
D). Explore how long Mrs. Ryan has experienced low libido


Give this one a try later!


explore how long Mrs. Ryan has expereinced low libido




Mr. Cardinal, 49 years old, has a history of alcohol use disorder. He moved to the city
from a Métis community 10 years ago, alternating between living in stable housing or
on the street. The RPN meets Mr. Cardinal in a primary health-care centre.
Mr. Cardinal is trying to locate housing. The landlord states, "I'm not renting to an
alcoholic." Mr. Cardinal requests the registered psychiatric nurse's assistance. What
should the RPN do?


A). Explore how Mr. Cardinal feels about stigma
B). Advocate for Mr. Cardinal's Métis status
C). Offer to continue to help Mr. Cardinal find housing
D). Connect Mr. Cardinal with an outreach worker


Give this one a try later!

, connect Mr. Cardinal with an outreach worker




Which of the following errors can lead to a false low blood pressure reading?


A). The client crosses his legs
B). The cuff is too large
C). The client has white coat syndrome
D). The cuff is too small


Give this one a try later!


the cuff is too large




James, 8 years old, is a new client in a child and adolescent treatment centre. A proper
intake assessment has not yet been completed because James is uncooperative. What
should the RPN do first?


A). Ask James' parents to help answer intake interview questions
B). Refer James to the child psychologist
C). Spend time playing with James to build a rapport
D). Ask James' parents to bring in his favourite books to read


Give this one a try later!


ask James' parents to help answer intake interview questions




The RPN is responsible for facilitating a communication group for clients. The focus of
this group is to explore how effective communication skills are essential for
developing healthy interpersonal relationships.

, One of the group members frequently displays disruptive emotional outbursts. How
should the RPN respond?


A). Address the client individually outside of the group
B). Understand the behaviour is part of the group process
C). Reinforce the group boundaries with the client
D). Suggest 1:1 support and have the client leave the group


Give this one a try later!


reinforce the group boundaries with the client




Mr. Mueller, 52 years old, is admitted to the hospital with a quetiapine (Seroquel)
overdose and pneumonia. Mr. Mueller has a low-grade fever, hallucinations and an
elevated white blood cell count. He is experiencing a decreased level of
consciousness and hypoxia.
At the time of admission, what should be the registered psychiatric nurse's primary
concern?


A). White blood cell count
B). Hypoxia
C). Level of consciousness
D). Hallucinations


Give this one a try later!


hypoxia




Lily, 4 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.
Lily approaches the registered psychiatric nurse a day before discharge and asks,

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