Registered Psychiatric Nurses of Canada Examination (RPNCE) Practice test

Prioritizing the immediate needs and well-being of the patient is essential in psychiatric nursing and responding to Mr. Prodniak's demand for a cigarette requires a thoughtful approach. Choosing to redirect him by involving him in on-the-unit activities is a practical and therapeutic response. This action not only addresses his request for a cigarette but also helps to engage him in a distraction that can promote better coping mechanisms and emotional regulation.

By engaging in activities within the unit, Mr. Prodniak can be provided with opportunities for social interaction and participation, which can improve his overall mood and reduce agitation associated with craving nicotine. This approach aligns with therapeutic communication principles, fostering a supportive environment while helping him focus on alternative actions rather than his immediate cravings.

Engaging the patient in activities can also lay the groundwork for further discussions about smoking cessation and coping strategies, which may be beneficial in the long run. This strategy not only facilitates immediate distraction but promotes the overall treatment plan aimed at enhancing the patient's mental and physical health without confrontation or denial of his desires.