CPNRE CPNRE - Canadian Practical Nurse Registration Examination Gerontological and Palliative Care Questions and Answers 2

Question 1

A client in palliative care expresses fear about dying alone. What is the most therapeutic nursing response?

Accepted Answer

Reassure the client that staff will be present as much as possible and discuss their wishes

Answer

Tell the client they are not dying yet

Answer

Change the subject to focus on positive topics

Answer

Suggest the client speak with a physician about their fears

Question 2

Which finding is an expected normal change of aging that the nurse should anticipate in elderly clients?

Accepted Answer

Decreased skin turgor

Answer

Increased creatinine clearance

Answer

Increased respiratory reserve

Answer

Accelerated wound healing

Question 3

A confused elderly client keeps trying to climb out of bed. Before applying a restraint, the nurse should first:

Accepted Answer

Try least-restrictive alternatives such as repositioning, music, or a sitter

Answer

Apply the restraint immediately for safety

Answer

Administer sedation

Answer

Notify the family and take no further action

Question 4

When assessing a palliative client for dehydration at end of life, the nurse should understand that:

Accepted Answer

Reduced fluid intake is a natural part of the dying process

Answer

IV fluids must always be initiated to prevent dehydration

Answer

Dehydration always causes suffering in dying clients

Answer

Nasogastric tube feeding prevents end-of-life complications

Question 5

The nurse is caring for an older adult with mild cognitive impairment. Which communication strategy is most effective?

Accepted Answer

Speak slowly, use simple sentences, and allow extra time for responses

Answer

Use complex medical terminology to be precise

Answer

Rely solely on written instructions

Answer

Avoid communicating directly with the client and focus on family

Question 6

A dying client's family asks why their loved one is not eating. The most appropriate nursing response is:

Accepted Answer

Explain that decreased appetite is a normal part of the dying process

Answer

Encourage forcing food to maintain strength

Answer

Suggest high-calorie supplements immediately

Answer

Refer the family immediately without explanation