APPROVED QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (CORRECT VERIFIED SOLUTIONS)
CURRENTLY UPDATED VERSION 2026
EDITION||Vancouver Island University Practical
Nursing Diploma
,Mr. Hazel, 72 years old with a history of dementia, was admitted to a
long-term care centre 3 weeks ago following a cerebrovascular accident
(CVA).
Mrs. Hazel comes to the long-term care centre to visit her husband. She
sees her husband walking hand-in-hand with another female client. She
shouts at her husband to stop his inappropriate behaviour. How should
the practical nurse respond?
0A) Invite Mrs. Hazel into the family care room to discuss the issue and
her concerns.
OB) Approach Mr. Hazel and redirect his new female friend to another
area of
the unit.
Oc) Apologize to Mrs. Hazel and promise that it will not happen in the
future.
OD) Advise Mrs. Hazel that shouting is inappropriate and is upsetting the
other clients.
A) Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and
Her Concerns.
When Mrs. Hazel, the wife of Mr. Hazel who has dementia and was
recently admitted to a long-term care centre following a cerebrovascular
accident (CVA), sees her husband walking hand-in-hand with another
female client and shouts at him to stop his inappropriate behavior, the
practical nurse should respond by:
1. *Invite Mrs. Hazel Into the Family Care Room to Discuss the Issue and
Her Concerns*: This approach provides a private and supportive
environment for Mrs. Hazel to express her feelings and concerns. It
allows the practical nurse to listen empathetically, provide information
about Mr. Hazel's condition and behavior, and discuss appropriate ways
to address the situation.
The other options may not be as effective or appropriate:
B) Approach Mr. Hazel and Redirect His New Female Friend to Another
Area of the Unit - While it may be necessary to redirect Mr. Hazel and the
,other client to ensure their safety and comfort, this action alone does not
address Mrs. Hazel's concerns or provide her with the support she needs.
C) Apologize to Mrs. Hazel and Promise That It Will Not Happen in the
Future - Apologizing may be part of the response, but making promises
about future behavior without a plan to address the underlying issues is
not sufficient. It is important to work with Mrs. Hazel to develop a plan
that addresses her concerns and supports Mr. Hazel's needs.
D) Advise Mrs. Hazel That Shouting Is Inappropriate and Is Upsetting the
Other Clients - While it is important to maintain a calm and respectful
environment, addressing Mrs. Hazel's behavior without acknowledging
her feelings and concerns may alienate her and fail to provide the
support she needs.
By inviting Mrs. Hazel into the family care room to discuss the issue and
, Mr. Hazel, 72 years old with a history of dementia, was admitted to a
long-term care centre 3 weeks ago following a cerebrovascular accident
(CVA).
A colleague, who is caring for Mr. Hazel today, advises the practical
nurse that Mr. Hazel is tired and angrily refused his morning care. What
should the practical nurse do?
OA) Allow Mr. Hazel to sleep and assist with his care when he awakes.
OB) Advise the colleague to speak louder and slower to ensure that Mr.
Hazel
understands.
Oc) Prepare ordered p.r.n. medication for Mr. Hazel's aggressive
episodes.
OD) Assist Mr. Hazel and allow the colleague to help someone else.
A) Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes.
When Mr. Hazel, a 72-year-old with a history of dementia who was
admitted to a long-term care centre following a cerebrovascular
accident (CVA), is tired and angrily refuses his morning care, the practical
nurse should:
1. *Allow Mr. Hazel to Sleep and Assist with His Care When He Awakes*:
This approach respects Mr. Hazel's need for rest and can help prevent
agitation and aggressive behavior. It is important to approach care in a
manner that is considerate of the client's physical and emotional state.
The other options may not be as appropriate or effective:
B) Advise the Colleague to Speak Louder and Slower to Ensure That Mr.
Hazel Understands - While clear communication is important, speaking
louder and slower may not be effective if Mr. Hazel is tired and not
receptive to care at the moment. It could potentially exacerbate his
agitation.
C) Prepare Ordered p.r.n. Medication for Mr. Hazel's Aggressive Episodes
- Administering medication for aggressive episodes should be
considered if Mr. Hazel's behavior poses a risk to himself or others.
However, if the aggression is a response to being tired and not wanting