Deck 32: Assisting With End-Of-Life Care

Question 1

A person is terminally ill. Her pain is severe. She blames the staff for her pain. She complains about having to wait for pain-relief drugs. She also says that the staff is rough when they turn and reposition her. What stage of dying is she in?

A) Denial
B) Anger
C) Bargaining
D) Depression

Answer 1

Anger

Question 2

An advance directive is

A) The care plan
B) An order not to resuscitate the person
C) A document stating a person's wishes about health care when that person cannot make such decisions
D) Also known as the "Do Not Resuscitate" order

Answer 2

A document stating a person's wishes about health care when that person cannot make such decisions

Question 3

Which age-group views death as temporary?

A) Infants and toddlers
B) Children between the ages of 2 and 6 years
C) Children between the ages of 6 and 11 years
D) Teenagers

Answer 3

Children between the ages of 2 and 6 years

Question 4

A person is terminally ill. She has given pieces of jewelry to each child. She also has selected songs for her funeral. What stage of dying is she in?

A) Denial
B) Bargaining
C) Depression
D) Acceptance

Question 5

Rigor mortis is

A) A diagnosis of death
B) After death
C) Before death
D) The stiffness or rigidity of skeletal muscles that occurs after death

Question 6

Which age-group does not understand the nature of death?

A) Infants and toddlers
B) Children between the ages of 6 and 11 years
C) Adults
D) Older persons

Question 7

A person is terminally ill. He is very quiet. You often find him reading his Bible. One day he says, "I just want to see my grandson graduate from high school." What stage of dying is the person in?

A) Denial
B) Bargaining
C) Depression
D) Acceptance

Question 8

A person has a terminal illness. This means that

A) The person will recover
B) The person will not likely recover
C) There is an end to the illness
D) The illness ends with a cure

Question 9

Reincarnation is the belief that

A) The spirit or soul is reborn in another human body or in another form of life
B) The person is punished for sins and misdeeds in the afterlife
C) The body keeps its physical form in the afterlife
D) Life after death is free of suffering and hardship

Question 10

A person is terminally ill. He often talks about not being able to see his grandchildren grow up. He talks about never being a great-grandfather. What stage of dying is he in?

A) Denial
B) Bargaining
C) Depression
D) Acceptance

Question 11

Which statement concerning attitudes about death is incorrect?

A) They are influenced by culture and religion.
B) They are influenced by age.
C) They stay the same throughout adulthood.
D) They change as circumstances change.

Question 12

Post-mortem means

A) A diagnosis of death
B) After death
C) Before death
D) The stiffness of skeletal muscles that occurs after death

Question 13

A patient is terminally ill. The person's pastor comes for a visit. What should you do?

A) Tell them that you need to give care in 10 minutes.
B) Provide privacy.
C) Ask if you can pray with them.
D) Ask what they believe about the afterlife.

Question 14

A person was told that she has cancer and that it cannot be treated. The person insists that the reports are wrong. What stage of dying is the person in?

A) Denial
B) Anger
C) Bargaining
D) Depression

Question 15

Your feelings about death

A) Affect the care you give
B) Are shared with the dying person
C) Do not matter while at work
D) Are shared with the nurse

Question 16

Children between the ages of 6 and 11 years

A) Fully understand death
B) Learn that death is final
C) Fear pain and suffering
D) See death as reunion with those who have died

Question 17

The examination of the body after death is

A) Rigor mortis
B) Autopsy
C) Reincarnation
D) Resuscitation

Question 18

Why do dying adults often resent a terminal illness that results in death?

A) It invades privacy.
B) It causes pain and suffering.
C) It causes loneliness and separation from loved ones.
D) It affects plans, hopes, and dreams.

Question 19

According Dr. Elisabeth Kübler-Ross, the five stages of dying are

A) Denial, pain, sadness, bargaining, and acceptance
B) Denial, pain, acceptance, hospice, and death
C) Denial, anger, bargaining, depression, and acceptance
D) Denial, anger, sadness, hospice, and acceptance

Question 20

Adults and older persons usually fear dying

A) Alone
B) At home
C) In a hospital
D) In a nursing center

Question 21

The dying person's family goes through stages like the dying person.

Question 22

As death nears, hearing is one of the first functions lost.

Question 23

A patient is dying. The person and his family have the right to

A) Privacy
B) 3 meals a day
C) Hospice care
D) Home care

Question 24

Which does not promote quality of life?

A) Being forced to have treatment
B) Being involved in treatment and care
C) Being free from restraints
D) Having a clean and neat room

Question 25

A resident is dying. The person is incontinent of urine and feces. The person needs

A) A catheter and enemas
B) Perineal care as needed
C) Catheter care
D) Bladder and bowel training

Question 26

A patient is dying. The person's room is arranged

A) As the person and family wish
B) To give efficient care
C) To provide privacy
D) So the person is near the bathroom

Question 27

A resident is terminally ill. The person's care plan includes the following. Which should you question?

A) Explain what you are doing to the person or in the room.
B) Provide good eye care.
C) Keep the room dark.
D) Avoid bright lights and glares.

Question 28

A patient is dying. The person has trouble breathing. Which position will the person most likely prefer?

A) Prone
B) Supine
C) Dorsal recumbent
D) Semi-Fowler's

Question 29

Which does not promote quality of life?

A) Providing privacy when the dying person is visiting with family and friends
B) Keeping the person's final moments confidential
C) Protecting the person's property before and after death
D) Exposing the body after death

Question 30

A resident is dying. The doctor wrote a "Do Not Resuscitate" order. You do not agree with the order. Which is correct?

A) You can start CPR if necessary.
B) You do not have to follow the order.
C) You must respect the person's wishes.
D) You do not have to care for the person.

Question 31

A resident is dying. The person's care plan includes the following. Which should you question?

A) Provide oral hygiene every hour.
B) Remove the blanket or bedspread.
C) Change linens and gown as needed.
D) Maintain semi-Fowler's position.

Question 32

A patient is dying. Which will not promote the person's comfort?

A) Reposition the person every shift.
B) Provide skin care and personal hygiene.
C) Give back massages.
D) Position the person in good alignment.

Question 33

Signs that death is near include the following except

A) Body temperature rises
B) The pulse is fast and weak
C) Blood pressure falls
D) Pain increases

Question 34

A patient is dying. The following measures promote comfort except

A) Frequent position changes
B) Good body alignment
C) Supportive devices
D) Friction and shearing

Question 35

A resident is dying. When communicating with the person, which is incorrect?

A) Speak loudly.
B) Assume that the person can hear.
C) Ask "yes" or "no" questions.
D) Offer words of comfort.

Question 36

Signs that death is near include the following except

A) Loss of muscle tone
B) Peaceful facial expression
C) Shallow respirations
D) Gastro-intestinal functions increase

Question 37

Which is an advance directive?

A) A doctor's order
B) Post-mortem care
C) A living will
D) A Dying Person's Bill of Rights

Question 38

The right to privacy and the right to be treated with dignity and respect do not apply after death.

Question 39

A dying person gave "durable power of attorney for health care" to his daughter. This means that the person's daughter

A) Will inherit his money
B) Can make his health care decisions when he cannot
C) Can start measures that prolong his life
D) Can remove measures that prolong his life

Question 40

Hospice care focuses on

A) Cure
B) Life-saving measures
C) Pain relief and comfort
D) Advance directives

Question 41

Signs of death include the following except

A) The pupils constrict
B) No pulse
C) No respirations
D) No blood pressure

Question 42

You are assisting with post-mortem care. Dentures are not inserted. What should you do with them?

A) Put them in the personal belongings envelope for the family.
B) Ask what the family wants you to do with them.
C) Put them in a denture container labeled with the person's name.
D) Put them in the body bag.

Question 43

Before rigor mortis sets in, the body is

A) Cleaned and dressed
B) Taken to the funeral home
C) Positioned in normal alignment
D) Placed in a body bag or on a shroud

Question 44

Post-mortem care is done to

A) Prevent rigor mortis
B) Maintain a good appearance of the body
C) Prevent the skin from changing color
D) Clean the body

Question 45

You are assisting with post-mortem care. You must follow

A) Medical asepsis and surgical asepsis
B) Sterile technique and isolation precautions
C) Standard Precautions and the Bloodborne Pathogen Standard
D) The care plan

Question 46

A patient has died. An autopsy will be done. Post-mortem care is not done.

Question 47

You are assisting with post-mortem care. The body produces sounds during turning and repositioning. Which is correct?

A) The person is still alive.
B) CPR must be started.
C) The sounds are normal and expected.
D) The sounds are signs of rigor mortis.

Question 48

Which health team member pronounces the person dead?

A) A doctor
B) An RN
C) An RN or LPN/LVN
D) The health team member with the person at the time of death