Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

How should the RPN initially respond to a child expressing defiance towards the counseling process?

1. Acknowledge the child's fear of the counselling process

2. Inform the child that it is his right to refuse to talk

3. Ask the child why he does not want to have a conversation

4. Suggest that the child's mother speak on his behalf

The correct answer is: Inform the child that it is his right to refuse to talk

An appropriate response for the Registered Practical Nurse (RPN) when dealing with a child's defiance towards the counseling process emphasizes recognizing the child’s autonomy and control over their choices. Informing the child that it is their right to refuse to talk establishes a sense of empowerment and respect for their feelings. This approach can help reduce anxiety or hostility, allowing for a more productive dialogue in the future. By acknowledging the child's right to refusal, the RPN fosters an environment of trust. It indicates to the child that their feelings and choices are valid, which may open the door for further conversation at a later time, when the child feels more comfortable. This response aligns with best practices in child-centered care, emphasizing respect for the child's agency, which can lead to a more effective counseling experience. In contrast, suggesting that the child speak through their mother or questioning the child's reasons for defiance might seem confrontational or dismissive, potentially reinforcing feelings of resistance. Acknowledging fear can be relevant but is not as directly empowering as affirming the child's rights.