Deck 34: The Gastrointestinal System

Question 1

What generally occurs in the bargaining stage?

A)the client may believe that test results are mixed with someone else's
B)the client may attempt to postpone death by asking God or the universe for a reprieve in exchange for some good act or behaviour
C)the signs and symptoms of a life-limiting illness become more acute and harder to ignore
D)anger and depression are replaced by contemplation and expectation of death

Answer 1

B

Question 2

According to the World Health Organization (2014),the goals of hospice-palliative care include the following:

A)intending to postpone death
B)using an individual approach to address the needs of clients and their families
C)applying hospice-palliative care principles late in the course of the illness
D)integrating the psychological and spiritual aspects of client care

Answer 2

D

Question 3

When the client has died,or expired:

A)it is too late for post-mortem care
B)the client is immediately transferred to the morgue
C)you may have to gently close the eyelids if they are open
D)postmortem care should be done after rigor mortis develops

Answer 3

C

Question 4

Palliative care measures dictate that the room of a dying client should be

A)kept dimly lit.
B)kept dark.
C)made unusually bright.
D)adjusted to suit the client.

Question 5

You wish to give routine personal care to a dying client.His/her family is visiting.You should:

A)carry out your job quickly,quietly,and effectively.
B)wait until they leave.
C)not worry about it since he/she will not require routine personal care.
D)none of the above

Question 6

The removal of organs from a donor is called:

A)harvesting
B)transplant
C)donation
D)receiving

Question 7

A sign that shows death may be near includes:

A)blood circulation increases
B)Perspiration decreases
C)pulse may become stronger
D)skin colour may become mottled

Question 8

An advance directive:

A)an individual designated as power of attorney
B)is different than a living will
C)outline the family's prewritten instructions
D)includes medical treatments only

Question 9

Rigor mortis means

A)a procedure done by the mortician.
B)the client has just died.
C)the natural stiffening of the body and limbs shortly after death.
D)the heart has stopped.

Question 10

In her book On Death and Dying,Elisabeth Kübler-Ross (1969)describes five stages that people may experience when faced with the knowledge of their impending
Death.These stages (in order)include :

A)(1)depression,(2)anger,(3)bargaining,(4)denial,and (5)acceptance
B)(1)denial,(2)acceptance,(3)bargaining,(4)depression,and (5)anger
C)(1)denial,(2)anger,(3)bargaining,(4)depression,and (5)acceptance
D)(1)denial,(2)anger,(3)battling,(4)depression,and (5)acceptance

Question 11

Regarding organ donation:

A)it is required by law
B)harvesting of organs occurs while the brain is functioning
C)it is influenced by personal,religious,and cultural beliefs
D)organ donation will make having an open-casket funeral a problem

Question 12

Elizabeth Kubler-Ross is a world-famous expert on death and dying.

Question 13

With respect to hospice care and palliative care:

A)they were always considered as the same philosophies of care based on the type of care provided and the location of care delivery
B)palliative care was considered a more medical model
C)hospice care referred to a medical model
D)the goal of the palliative model was to keep clients comfortable and "de-medicalize" the dying process

Question 14

Dying clients all have similar ideas about death and the hereafter.

Question 15

You are caring for a terminally ill client.Your first responsibility is to:

A)help make the client as comfortable as possible.
B)determine if the client is dead.
C)assist in meeting the emotional needs of the client.
D)assist in meeting the emotional needs of the family.

Question 16

A client is not expected to recover from his/her illness.His/her family wants to know what the doctor has said about the client's condition.You should:

A)refer them to your immediate supervisor.
B)answer them honestly.
C)call the doctor.
D)answer them so as to give hope.

Question 17

A power of attorney is:

A)required for hospital admission
B)always a spouse
C)cannot be a health-care representative
D)specifies a client's personal care wishes

Question 18

You are caring for a client with terminal illness.How often at a minimum should you continue to turn the client?

A)every 1 hour
B)every 2 hours(s)
C)every 3 hour(s)
D)every 4 hour(s)

Question 19

When a client is dying,the personal care provider can help the family and client the most by:

A)asking them questions about the client and how the illness started.
B)trying to cheer them up by talking to them.
C)maintaining a concerned and efficient approach to your work.
D)telling them about the details of the client's condition.

Question 20

With respect to postmortem care:

A)if family members and significant others are not present when the client dies.In this case,either the doctor or the nurse will notify them
B)all jewelry is removed from the body
C)the body is transferred to the morgue immediately
D)personal care providers do not participate in postmortem care

Question 21

The focus of hospice-palliative care must be promoting clients' quality of life while they are living

Question 22

A client's pulse may be rapid or may become weak and irregular near death.

Question 23

Always let the family be alone with the client; they don't want you there.

Question 24

The denial stage of dying refers to thoughts like "this can't be happening to me."

Question 25

Try to provide some measure of comfort for the family,such as a cup of coffee,etc.

Question 26

Hospice care is only for clients with cancer.

Question 27

Postmortem care should be completed prior to rigor mortis.

Question 28

The challenge for you as the personal care provider is knowing when the client needs to talk about her impending death and when she may just want to live and be happy in the moment.

Question 29

Hospice works to cure the client.

Question 30

The decision to donate organs is influenced by culture and religious beliefs.

Question 31

Since the terminal client is dying,they do not require much care.

Question 32

When you can't answer the family's questions,refer them to the nurse.

Question 33

Organ donation requires planning on the part of the client.

Question 34

Always check with the nurse before removing any lines,tubes,or drains from the body.

Question 35

Bargaining refers to the stage of dying when a patient attempts to strike a deal with God to postpone their death.

Question 36

Advance directives allow family member to decide a client's wishes.

Question 37

Loss of bowel and bladder control is unusual near death.