CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers Flashcards

Which action by the nurse best supports a client's spiritual needs in palliative care?

Answer: Asking the client about their spiritual or religious preferences

Asking about individual spiritual preferences ensures care is personalized and respects diverse beliefs and values.

A nurse notes that an elderly client's urine is dark amber and concentrated. What is the priority action?

Answer: Encourage oral fluid intake if not contraindicated and reassess output

Dark concentrated urine suggests dehydration; encouraging oral fluids if safe addresses the underlying cause.

When completing a pain assessment on a non-verbal elderly client with dementia, which tool is most appropriate?

Answer: PAINAD (Pain Assessment in Advanced Dementia) scale

The PAINAD scale assesses pain in non-verbal clients with dementia using observable behavioral indicators.

A palliative care nurse is supporting a family in grief following a client's death. Which action is most appropriate?

Answer: Offer condolences, sit quietly with the family, and allow them to express emotions

Offering compassionate presence and allowing the family to grieve validates their emotions and provides therapeutic support.

Which measure is most effective in preventing pressure injuries in a bedridden elderly client?

Answer: Repositioning at least every 2 hours with pressure-relieving surfaces

Repositioning every 2 hours combined with pressure-relieving surfaces is the evidence-based standard for pressure injury prevention.

Which statement about advance directives is accurate in the context of palliative care?

Answer: Nurses can provide information about advance directives and document client wishes

Nurses play a key role in providing information about advance directives and documenting expressed wishes in the health record.