CPNRE PROCTORED EXAM 1
1. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
Three months later, Mrs. Worth is moved to a special care unit. Her grand-
daughter Sara visits, but Mrs. Worth does not recognize her. Sara begins to cry.
What should the practical nurse do?
A) Tell Sara that her grandmother likes to talk about living on the farm.
• B) Tell Sara that this is part of the disease process and is to be expected.
• C) Ask Sara if she would like to walk with her grandmother.
,• D) Ask Sara if she would like to talk and offer her support.: D) Ask Sara if she would like
to talk and offer her support.
This response is empathetic and supportive, acknowledging Sara's feelings and offering her the opportunity to express
them. It also provides an opening for the practical nurse to offer further assistance or information about Mrs. Worth's
condition and how to cope with the changes it brings. It's important for family members to understand the disease
process and to have their feelings validated, but this should be done in a way that is sensitive to their emotional state
at the moment.
2. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
Mrs. Worth is becoming increasingly agitated by another client. She begins to
behave aggressively. After calling for help, what should the practical nurse do?
• A) Assess both clients for injury and encourage Mrs. Worth to calm down.
,O B) Assess Mrs. Worth's needs in a calm manner and review the situation for
possible triggers.
• C) Administer p.r.n. medication and assess both clients for injury.
• D) Administer p.r.n. medication and obtain an order to restrain Mrs. Worth
until she calms down.: B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
, This response is appropriate because it focuses on understanding and addressing the underlying cause of Mrs. Worth's
agitation and aggressive behavior. It is important to assess her needs and the situation calmly to identify any triggers
that may have caused her reaction. This approach is more proactive and therapeutic than immediately resorting to
medication or restraint, which should be considered only if the situation poses an immediate risk to Mrs. Worth or
others and all other de-escalation techniques have been exhausted.
3. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
While Mrs. Worth's son is visiting his mother, he notices that she is trying to
make phone calls on her TV remote control. Which term best describes this?
A) Apraxia
O B) Akinesia
• C) Aphasia
1. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
Three months later, Mrs. Worth is moved to a special care unit. Her grand-
daughter Sara visits, but Mrs. Worth does not recognize her. Sara begins to cry.
What should the practical nurse do?
A) Tell Sara that her grandmother likes to talk about living on the farm.
• B) Tell Sara that this is part of the disease process and is to be expected.
• C) Ask Sara if she would like to walk with her grandmother.
,• D) Ask Sara if she would like to talk and offer her support.: D) Ask Sara if she would like
to talk and offer her support.
This response is empathetic and supportive, acknowledging Sara's feelings and offering her the opportunity to express
them. It also provides an opening for the practical nurse to offer further assistance or information about Mrs. Worth's
condition and how to cope with the changes it brings. It's important for family members to understand the disease
process and to have their feelings validated, but this should be done in a way that is sensitive to their emotional state
at the moment.
2. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
Mrs. Worth is becoming increasingly agitated by another client. She begins to
behave aggressively. After calling for help, what should the practical nurse do?
• A) Assess both clients for injury and encourage Mrs. Worth to calm down.
,O B) Assess Mrs. Worth's needs in a calm manner and review the situation for
possible triggers.
• C) Administer p.r.n. medication and assess both clients for injury.
• D) Administer p.r.n. medication and obtain an order to restrain Mrs. Worth
until she calms down.: B) Assess Mrs. Worth's needs in a calm manner and review the situation for possible
triggers.
, This response is appropriate because it focuses on understanding and addressing the underlying cause of Mrs. Worth's
agitation and aggressive behavior. It is important to assess her needs and the situation calmly to identify any triggers
that may have caused her reaction. This approach is more proactive and therapeutic than immediately resorting to
medication or restraint, which should be considered only if the situation poses an immediate risk to Mrs. Worth or
others and all other de-escalation techniques have been exhausted.
3. Mrs. Worth, 78 years old, is a resident in an apartment complex for older
adults. She has an adult son. Over the past several months, Mrs. Worth has
begun to forget days of the week and forget to pay her bills. She often wears
her night clothing during the day.
While Mrs. Worth's son is visiting his mother, he notices that she is trying to
make phone calls on her TV remote control. Which term best describes this?
A) Apraxia
O B) Akinesia
• C) Aphasia
