CPNRE Proctored Exam 2
1. 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 suflcient. 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
2. 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 care at that moment, it may be more appropriate to address the underlying
1. 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 suflcient. 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
2. 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 care at that moment, it may be more appropriate to address the underlying
