RPNCE - Registered Psychiatric Nurse of Canada Examination Health Promotion and Teaching Questions and Answers

Question 1

An RPN is providing discharge teaching to a client with schizophrenia about their new antipsychotic medication.
The RPN notes the client has difficulty reading the medication pamphlet and seems to be agreeing without understanding.
What is the most appropriate action for the RPN to take?

Accepted Answer

Use simple language, visual aids, and the "teach-back" method to confirm understanding.

Answer

Give the client the pamphlet and tell them to have a family member read it to them.

Answer

Document that the client was non-compliant with teaching.

Answer

Ask the psychiatrist to explain the medication again.

Question 2

When teaching a client about developing a relapse prevention plan for a substance use disorder, which component is MOST essential to include?

Accepted Answer

Identification of personal triggers and development of specific coping strategies.

Answer

A list of alternative housing options.

Answer

A schedule for attending 12-step meetings every day.

Answer

The client's complete medication history from the past five years.

Question 3

An RPN is working with a client who has bipolar disorder and frequently stops taking their mood stabilizer. The client states, "I know I should probably take it, but I miss the highs. I'm just not sure it's worth it." According to the Transtheoretical Model (Stages of Change), the RPN should tailor their health teaching to a client in which stage?

Accepted Answer

Contemplation

Answer

Precontemplation

Answer

Preparation

Answer

Action

Question 4

A Registered Psychiatric Nurse is planning a psychoeducation group for clients newly diagnosed with panic disorder. Which of the following is the primary goal of this type of group?

Accepted Answer

To provide structured information about the illness, treatment options, and coping skills.

Answer

To provide in-depth psychotherapy to resolve underlying unconscious conflicts.

Answer

To facilitate unstructured discussion and peer support without a specific agenda.

Answer

To encourage clients to confront each other about their unhealthy behaviours.

Question 5

The parents of a young adult recently diagnosed with schizophrenia express guilt and blame themselves for their child's illness. Which health teaching intervention by the RPN is most appropriate?

Accepted Answer

Providing information about the neurobiological basis of schizophrenia and clarifying that it is not caused by parenting.

Answer

Suggesting the parents attend family therapy to explore their role in the illness.

Answer

Recommending they read a book written by another parent of a child with schizophrenia.

Answer

Exploring the family's communication patterns in detail to identify deficits.

Question 6

An RPN is providing health promotion teaching to a client taking a second-generation (atypical) antipsychotic, such as olanzapine. Due to the medication's common side effect profile, which topic is a PRIORITY for the nurse to include?

Accepted Answer

Education on diet, exercise, and monitoring for metabolic syndrome.

Answer

Strategies to manage photosensitivity and prevent severe sunburn.

Answer

The importance of regular eye exams to screen for cataracts.

Answer

Techniques to manage acute extrapyramidal symptoms (EPS) like dystonia.