About this exam
Focuses on psychiatric assessment, symptom identification, crisis intervention, psychopharmacologic complications, and prioritization of care for patients with schizophrenia, dementia, delirium, and neurocognitive disorders
What to expect
10
Questions
180 min
Time limit
90%
Pass mark
Practice Exam
Format
Sample questions
- Mr. O is a 55-year-old Caucasian male who was adjudicated Not Guilty by Reason of Insanity (NGRI) for felony arson. He grew up in a rural part of Virginia, dropping out of high school prior to completion due to attendance problems and challenges learning due to an intellectual disability. He has a limited work history, only maintaining consistent employment for a brief time while enrolled in a supervised work program. The onset of his illness occurred when he was 21 years old, at which time he started experiencing command auditory hallucinations and suicidal ideation. Since that, time he has been hospitalized on multiple occasions, each the result of treatment non-adherence and rapid psychiatric decompensation. Over the years, Mr. O engaged in dangerous behavior while psychiatrically unstable. He has a lengthy history of arson and assaulting family members in response to paranoia and command auditory hallucinations, thus his relationship with his mother and siblings is strained. Which topics would take priority? (Select all that apply.)
- An older adult called the 911 line and later the police hotline to report an intruder was in his house. The police arrived at the adult's house 15 minutes after the call. When the police asked to recount the events related to the intruder, the adult showed the intruder as his own imaging reflected on the mirror. What sign of dementia is evident?
- A client receiving Risperidone (Risperdal) reports severe muscle stiffness at 10:30 am. By noon, the patient is diaphoretic, drooling, and has difficulty swallowing. By 4:00 pm, vital signs are body temperature, 102.8deg F; pulse, 110 beats/min; respirations, 26 breaths per minute; and blood pressure, 150/90 mm Hg. Select the nurse's best analysis of this scenario.
- David Carter is a 28-year-old male with a 10-year history of schizophrenia who lives with his mother and works as a grocery clerk. Onset of schizophrenia was while David was in high school, with progressive social isolation and difficulties with school and work. He was psychiatric hospitalized when he presented with auditory hallucinations and paranoid delusions. David's care plan includes monitoring for delusions. Which assessment findings suggest that David may have delusions?
How to prepare
Work through the RN Nursing study notes topic by topic, then sit this exam under timed conditions to rehearse pacing. Review every rationale — the explanation matters more than the score.
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