Exam (elaborations)
RPNCE EXAM QUESTIONS AND ANSWERS
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RPNCE EXAM QUESTIONS AND ANSWERS
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RPNCE EXAM QUESTIONS AND ANSWERSNormal temp for an adult - Answers- 36-38 C
Normal respiratory rate - Answers- 12-20 breaths per minute
Normal SpO2 - Answers- 95-100%
Normal pulse rate - Answers- 60-100 bpm
Tachycardia - Answers- Abnormally rapid heartbeat (over 100 beats per minute)
Bradycardia - Answers- abnormally slow heartbeat below 60bpm
systolic blood pressure - Answers- the pressure created when the heart contracts and
forces blood out into the arteries
diastolic blood pressure - Answers- the pressure remaining in the arteries when the left
ventricle of the heart is relaxed and refilling
normal blood pressure - Answers- 120/80
Hypertension - Answers- abnormally high blood pressure
dysrhythmia - Answers- Abnormal heart rhythm
Mood disorder - Answers- involves a persistent or chronic disturbance in mood
influences a person's thoughts, emotion and behavior
Major Depressive Disorder - Answers- depressed mood or decreased interest or
pleasure
lasts most of the day for more than 2 weeks
Behavioral Signs of Depression - Answers- Aggressiveness, agitation, alcoholism,
altered activity level, drug addiction, intolerance, irritability, lack of spontaneity, poor
personal hygiene, psychomotor retardation, social isolation, tearfulness,
underachievement, withdrawal
Somatic complaints of depression - Answers- Gastrointestinal distress,
chronic/intermittent pain, irritability, palpitations, sleep disturbances, dizziness, appetite
change, lack of energy, change in sex drive
Bipolar I - Answers- manic or mixed episodes alternating with major depressive
episodes
Bipolar II - Answers- hypomania that alternates with episodes of major depression
,Neurocognitive disorders - Answers- a group of disorders in which a person
experiences a disruption in areas of mental function (orientation, attention, logic,
awareness, memory, intellect, language, abstract thinking & reasoning)
Delirium - Answers- mental disorder that occurs suddenly and is the result of an
underlying medical condition
Dementia - Answers- a group of conditions that involve multiple deficits in memory and
cognition
Dementia of the Alzheimer's type - Answers- Gradual onset of cognitive deficits caused
by Alzheimer's disease, principally identified by person's inability to recall newly or
previously learned material. The most common form of dementia.
Dementia of the vascular type - Answers- dementia related to a vascular disease such
as CVD
Frontotemporal Dementia - Answers- Frontal and temporal regions degenerate,
resulting in badly impaired emotional stability, decision-making and language use
Dementia with Lewy Bodies - Answers- dementia involving visual hallucinations,
cognitive fluctuations, and atypical movements
Brief Psychiatric Rating Scale (BPRS) - Answers- an 18 item instrument that assesses
major psychotic and non-psychotic symptoms
Positive and Negative Syndrome Scale (PANSS) - Answers- a 30 item rating tool that
evaluates symptoms of clients with Schizophrenia
The Psychotic Symptom Rating Scales (PSYRATS) - Answers- a 17 item semi-
structured, clinical administered scale that provides details about multiple commonly
occurring psychotic symptoms
Abnormal Involuntary Movement Scale (AIMS) - Answers- tool used to screen for
symptoms of movement disorders (side effects of neuroleptic medications)
Simpson Angus Scale (SAS) - Answers- an instrument used to measure drug-induced
parkinsonism or EPS
Barnes Akathisia Rating Scale (BARS) - Answers- assesses the severity of medication
induced akathisia
The Quality of Life Scale (QLS) - Answers- assesses interpersonal relations,
instrumental role functioning, cognitive-emotional functioning and extent of involvement
in routine ADL's
, Schizophrenia - Answers- a thought disorder that involves bizarre behavior, thoughts,
movement, perceptions & emotions
Positive symptoms of Schizophrenia - Answers- exaggerations of normal function
Hallucinations - Answers- erroneous or false sensory perceptions, mostly visual or
auditory
Delusions - Answers- erroneous, false, fixed beliefs
Paranoid delusions - Answers- excessive or irrational suspicion and distrust of others
Persecutory delusions - Answers- belief that one has been wronged in some way
Somatic delusions - Answers- person feels afflicted by a physical defect or general
medical condition
Grandiose delusions - Answers- beliefs that one holds special power, unique
knowledge, or is extremely important
Erotomanic delusions - Answers- when an individual believes falsely that another
person is in love with him or her
Jealous delusions - Answers- delusions that the individual's sexual partner is unfaithful
Thought broadcasting - Answers- belief that one's thoughts are broadcast directly from
one's head to the external world
Disorganized behavior - Answers- lacks order, appears illogical, unpredictable, or
otherwise reflects cognitive impairment
Disorganized speech - Answers- impaired communication
Echolalia - Answers- The parrot-like repetition, by an individual with loose ego
boundaries, of the words spoken by another.
Circumstantiality - Answers- detailed and lengthy talking about a subject
Loose associations - Answers- sudden shifting from one topic to another without any
connection
Flight of ideas - Answers- repeated and rapid changing of the subject
Word salad - Answers- words jumbled together with little meaning or significance to the
listener
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