CPNRE Mental Health Nursing Concepts 5

Question 1

A nurse is working with a client who has borderline personality disorder. Which therapeutic approach is most effective for this population?

Accepted Answer

Dialectical behaviour therapy (DBT)

Answer

Dialectical behaviour therapy (DBT) is the evidence-based treatment of choice for borderline personality disorder, focusing on emotion regulation, distress tolerance, and interpersonal effectiveness.

Question 2

A client refuses to take their prescribed antipsychotic medication. Under which circumstance may the nurse administer medication without consent?

Accepted Answer

When the client poses an imminent danger to themselves or others

Answer

Involuntary medication administration is legally and ethically justifiable only when a client presents an imminent risk of harm to themselves or others.

Question 3

A nurse observes a client with anorexia nervosa hiding food in napkins during mealtime. What is the most appropriate nursing response?

Accepted Answer

Document the behaviour and report it to the treatment team

Answer

Documenting and reporting the behaviour ensures the treatment team can address it therapeutically as part of the client's care plan without punitive action.

Question 4

During a mental status examination, a client jumps rapidly from topic to topic with no apparent logical connection. The nurse documents this as:

Accepted Answer

Flight of ideas

Answer

Flight of ideas is characterized by rapidly shifting from one topic to another with minimal logical connection, commonly seen in mania.

Question 5

A nurse is implementing suicide precautions. Which environmental modification is the highest priority?

Accepted Answer

Conducting room searches and removing sharp objects and ligatures

Answer

Removing all potentially lethal means, including sharps and ligatures, is the highest-priority environmental intervention to reduce suicide risk.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE - Canadian Practical Nurse Registration Examination Practice Test

CPNRE Mental Health Nursing Concepts 5