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

Acknowledging the client's fear and discussing their wishes for presence provides emotional support and practical reassurance.

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

Decreased skin turgor is a normal physiological change of aging due to reduced collagen and elastin in the skin.

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

Least-restrictive alternatives must be attempted before restraints, as restraints carry significant risks including increased agitation and injury.

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

Reduced food and fluid intake is a normal and expected part of the dying process and does not necessarily cause suffering.

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

Simple, clear language with adequate processing time supports effective communication with clients who have cognitive impairment.

CPNRE - Canadian Practical Nurse Registration Examination Practice Test