Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

If a client expresses uncertainty about medication for OCD after counseling, what should the RPN's first step be?

1. Provide education regarding medications

2. Explain that more than counseling is necessary

3. Explore the client's concerns about medication

4. Validate concerns about medication side effects

The correct answer is: Explore the client's concerns about medication

In this scenario, the most appropriate first step for the RPN (Registered Practical Nurse) is to explore the client's concerns about medication. This approach is crucial because it establishes a therapeutic relationship built on trust and understanding. By actively listening to the client's feelings, fears, and uncertainties regarding medication, the RPN can identify specific issues or misconceptions that may be affecting the client's willingness to consider pharmacological treatment. Exploring the client's concerns allows the RPN to assess the underlying reasons for their uncertainty. This might include fear of side effects, misconceptions about medication, or doubts about its effectiveness. Understanding these concerns paves the way for a more tailored and supportive response that can address the client's individual needs and preferences. After gaining insight into the client's perspective, the RPN can then provide relevant information or education regarding the medications, clarifying any misunderstandings and discussing the potential benefits and risks. This method not only empowers the client but also encourages collaborative decision-making regarding their treatment options.