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Exam (elaborations)

Rpnce Comprehensive Exam Questions With Detailed Verified And 100% Accurate Answers Brand New Exam Already Graded A+ Pass

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RPNCE COMPREHENSIVE EXAM QUESTIONS WITH DETAILED VERIFIED AND 100% ACCURATE ANSWERS BRAND NEW EXAM ALREADY GRADED A+ PASS

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RPNCE COMPREHENSIVE EXAM QUESTIONS WITH
DETAILED VERIFIED AND 100% ACCURATE ANSWERS
BRAND NEW EXAM ALREADY GRADED A+ PASS
MR. lopez, 39 yr, recently transferred to inpatient MH from intensive
care after a serious suicide attempt. Mr. Lopes cut his throat and requires
a daily dressing change that the nurse is unfamiliar with. What is the
best practice?
a.) request education from the unit nurse in charge
b.) ask a colleague to perform the dressing change
c.) search types of dressings and techniques online
d.) consult with wound care specialist Ans✓✓✓d.) consult with wound
care specialist - (this is the best resource in this situation)


The RPN refuses to provide care due to feeling negative about Mr. lopez
suicide attempt. What might the RPN be experiencing?
a.) Moral distress
b.) moral uncertainty
c.) moral dissonance
d.) moral fatigue Ans✓✓✓a.) moral distress - goes against her personal
morals, refusing care exemplifies her moral distress


the RPN notices slight swelling, redness and warmth to a patient's calf
when palpitated - what would the rpn suspect?
a. muscle spasm
b. cellulitis

,c. deep vein thrombosis
d. peripheral artery disease Ans✓✓✓c. deep vein thrombosis - common
after a surgical procedure where the patient spends days in bed.


4 yr old Lilly was taken to hospital after being removed from her
mothers care, they lived in a park where Lilly's mom struggled with
alcohol abuse. Lilly is malnourished and diagnosed with reactive
attachment disorder .


The nurse would expect to see what presentation from Lilly?
a. exciteable, high energy, and giving hugs
b. expresses her needs and regulates her emotions well
c. irritated, sad, and withdrawn from adults that engage with her
d. crying, inconsolable and asking for her mother Ans✓✓✓c. irritated,
sad, and withdrawn from adults that engage with her
- irritability, sadness, depression, and withdraw are DSM criteria for
reactive attachment disorder


4 year old lilly is malnourished, what is she most at risk for?
a. refeeding syndrome
b. bulimia
c. developmental delay
d. stunted growth Ans✓✓✓a. refeeding syndrome

,this is a risk factor when reinitiating nutritional support after a period of
underfeeding


Lilly's mom discloses a new incident of abuse to the psychologist who
tells you it does not need to be reported as social services is already
involved. what is the best action?
a. chart the discussion
b. phone social services
c. document the verbal order
d. consult another psychiatrist Ans✓✓✓b. phone social services


you are obligated to report all incidences of child abuse


4 yr old lilly approaches the nursing station a day before discharge and
asks if she will be okay and asks what will happen to her. The best
response is ?
a. tell lilly she will be safe with the people who care for her
b. validate lilly's fears and concerns
c. consult the team so everyone delivers a united response
d. reassure lilly that her mom is working hard on herself. Ans✓✓✓b.
validate lilly's fears and concerns


this addresses her current concerns and needs and does not give her false
hope

, Mr. Mar was currently prescribed antidepressants. He is off work and
gets into frequent arguments with his supportive partner. He drinks
alochol frequently and reports being under a lot of stress.


The rpn smells alcohol on his breath, and Mr. Mar reports that the
medication is useless and hes been taking it for 3 weeks. After
addressing his alcohol use, the rpn should do what?
a. refer mr. Mar for a medication review
b. instruct him to discontinue the medication
c. discuss cbt techniques
d. provide information on alcoholics annonymous Ans✓✓✓c. discuss
cbt techniques


this technique is often used in conjunction with medication treatment


Mr. Mar states he had an affair and asks the rpn to support him to
disclose this information to his partner. what should the rpn do?
a. share her own relationship story
b. suggest this information not be shared
c. help mr. mar plan to inform his partner
d. offer to speak to his partner on his behalf. Ans✓✓✓c. help mr. mar
plan to inform his partner


honour the client's desire to disclose such information and support the
initiation of conversation

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