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Canadian Psychiatric/Mental Health Nursing Examination - Exam Topics Sample Questions

Which of the following medications could be administered by IM injections?

Correct Answer:
both a and b

to determine which of the mentioned medications can be administered by intramuscular (im) injections, it is important to understand the formulation and approval status of each drug. the medications listed are aripiprazole, risperidone, and quetiapine, which are commonly used in psychiatric treatment.

aripiprazole, marketed under the name abilify, initially was available only in oral form. however, an injectable version of aripiprazole has been developed and approved for im administration. this allows for its use in settings that require rapid control of symptoms or where compliance with oral medication is a concern.

risperidone, sold under the brand name risperdal, is another antipsychotic medication that has been available in both oral and injectable forms. the im injectable form is used for its quick onset of action and for maintenance treatment in patients with schizophrenia, particularly when adherence to oral medication is an issue.

quetiapine, known by its brand name seroquel, is primarily available in oral form and does not have an approved im injectable version. quetiapine is often used for the treatment of schizophrenia, bipolar disorder, and major depressive disorder; however, its administration is restricted to oral intake.

given this information, the correct answer to the question of which medications can be administered by im injection would be both aripiprazole and risperidone. quetiapine is not available in an injectable form and therefore cannot be administered by im injection. thus, the most accurate choice from the provided options, given the explanations for each drug, would be "both a and b" where a refers to aripiprazole and b refers to risperidone.

The nurse is caring for a psychiatric mental health patient that is pacing
and pacing the length of the hallway. Which of the following might the nurse
interpret this pacing to mean?

Correct Answer:
both a and b

when observing a psychiatric mental health patient who is pacing back and forth along the hallway, it is crucial for the nurse to interpret this behavior accurately, as it can be indicative of underlying psychological states. pacing can be a physical manifestation of internal turmoil and can signify several psychological conditions, most commonly agitation and restlessness.

agitation refers to a state of increased psychological and physical activity. when a patient exhibits agitation, they may appear unusually active, may be unable to stay still, and often engage in repetitive movements such as pacing. this behavior is often driven by inner tension and anxiety, and it can escalate to verbal and physical aggressiveness if not appropriately managed. agitation is not only distressing for the patient but can also pose safety risks to both the patient and others around them.

restlessness, on the other hand, is a condition where the patient feels the constant urge to move. it is often associated with discomfort and an inability to relax. while similar to agitation, restlessness might not reach the level of psychological intensity that characterizes agitation but still involves excessive, purposeless motor activity. patients may pace as a way to relieve their inner discomfort or to dissipate excess energy.

therefore, when a patient is observed to be pacing, it is reasonable for the nurse to consider both agitation and restlessness as potential underlying causes. it is important to note that both conditions might exist simultaneously, contributing to the patient’s behavior. proper assessment and interpretation of this behavior are crucial for planning appropriate interventions that aim to calm the patient, address their immediate needs, and prevent any potential harm.

in conclusion, the correct interpretation of a psychiatric patient's pacing behavior as indicative of both agitation and restlessness ('both a and b') helps in understanding the patient's current state and in guiding the necessary therapeutic measures. it is essential for healthcare professionals to observe these behaviors closely, as they play a critical role in managing and improving the mental health and safety of their patients.