Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

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Prepare for the Registered Psychiatric Nurses of Canada Examination. Study with flashcards and multiple choice questions, each with hints and explanations. Get ready for your exam!

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What should the RPN address first with Mrs. Russell, who shows increased activity after a period of depression?

Interest in joining groups or unit activities
Thoughts or plans of self-harm
Substance use
Dietary supplements

The correct answer is: Thoughts or plans of self-harm

Addressing thoughts or plans of self-harm should be the RPN's first priority with Mrs. Russell. When a patient has recently experienced a period of depression and is displaying increased activity, it is essential to assess any potential risks to their safety. Increased energy can sometimes lead to impulsive behaviors, especially in individuals with a history of depression, where the risk of self-harm or suicidal thoughts can heighten. Assessing for thoughts or plans of self-harm helps to ensure the immediate safety of the patient, which is the paramount concern in psychiatric nursing. It is crucial to engage in this assessment openly and compassionately, allowing Mrs. Russell to express any feelings or thoughts she may have. Once this concern is adequately addressed, the RPN can then proceed to explore other aspects of Mrs. Russell's wellbeing, such as engaging her in group activities, evaluating substance use, or discussing dietary supplements, all of which are also important but secondary to ensuring her immediate safety.