Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

After multiple relapses for depression and alcohol abuse, what should be the RPN's priority?

1. Developing more effective coping strategies

2. Assessing the client's interest to engage in treatment

3. Identifying harm-reduction strategies

4. Assessing for alcohol withdrawal

The correct answer is: Assessing for alcohol withdrawal

In situations involving multiple relapses of depression and alcohol abuse, the priority for the RPN should focus on assessing for alcohol withdrawal. This is because individuals with a history of alcohol abuse can experience significant physiological symptoms as they decrease or discontinue consumption, which can be severe and even life-threatening. Recognizing signs of withdrawal and ensuring the individual is safe is crucial, especially if they might be contemplating or forced into cessation as a result of their treatment or support interventions. By prioritizing the assessment of alcohol withdrawal, the RPN can intervene appropriately to manage any withdrawal symptoms and ensure the client's safety. This would typically involve monitoring vital signs, being alert to symptoms such as tremors, anxiety, sweating, and more severe complications like delirium tremens, which require immediate medical attention. With effective management of withdrawal symptoms, the individual can then better engage in further treatment strategies, such as developing coping mechanisms or identifying harm-reduction strategies.