Deck 43: End-Of-Life Care

Question 1

Which statement concerning attitudes about death is correct?

A) They are formed by the media.
B) They are influenced by age.
C) They stay the same throughout adulthood.
D) They don't typically change.

Answer 1

They are influenced by age.

Question 2

A resident is terminally ill. You are giving her a bath. Suddenly, she tells you to stop, that you are hurting her, and that you do not know what you are doing. She is very angry and upset. Which statement is correct?

A) She is in the stage of denial.
B) You need to leave the room until she calms down.
C) You must control the urge to let her know that she has upset you.
D) Her anger is abnormal and unhealthy.

Answer 2

You must control the urge to let her know that she has upset you.

Question 3

A resident is terminally ill. You are giving her a bath. Suddenly, she tells you to stop, that you are hurting her, and that you do not know what you are doing. She is very angry and upset. What should you say to her?

A) Say nothing. Let her do the talking.
B) Explain what you are doing step-by-step.
C) Ask if she wants to visit with a spiritual adviser.
D) Ask if she needs drugs for pain relief.

Answer 3

Say nothing. Let her do the talking.

Question 4

A resident who is terminally ill is in the last days of living. Which of the following would be included in the person's care plan?

A) Explain what you are doing to the person or in the room.
B) Provide a diet high in fat.
C) Keep the room dark.
D) Avoid dim and soft lights.

Question 5

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

A) Speak loudly.
B) Assume that the person can speak to you.
C) Ask broad opening types of questions.
D) Offer words of comfort.

Question 6

A resident is dying. Which of the following would be included in the person's care plan?

A) Provide oral hygiene every shift.
B) Remove the blanket or bedspread.
C) Change linens and gown once per week.
D) Maintain the semi-Fowler's position.

Question 7

A resident is dying. Which will promote the person's comfort?

A) Reposition the person every 4 hours.
B) Provide skin care and personal hygiene once per shift.
C) Give back massages once per week.
D) Position the person in good alignment.

Question 8

A resident is dying. Which of the following measures promote comfort?

A) Infrequent position changes
B) Good body alignment
C) Restraints
D) Friction and shearing

Question 9

Signs that death is near include which of the following?

A) Body temperature drops.
B) Pulse is slow but strong.
C) Blood pressure falls.
D) Pain increases.

Question 10

Signs that death is near include which of the following?

A) Increase in muscle tone
B) Peaceful facial expression
C) Regular respirations
D) Increased gastrointestinal functions

Question 11

Signs of death include which of the following?

A) The eyes stay open
B) No pulse
C) Slow respirations
D) Low blood pressure

Question 12

Which promotes quality of life?

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

Question 13

Which promotes quality of life?

A) Being forced to have treatment
B) Being in a home-like setting
C) Being restrained
D) Having a cluttered room