Deck 52: End of Life Care

Question 1

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

Answer 1

Denial,anger,bargaining,depression,and acceptance

Question 2

Post-mortem means

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

Answer 2

After death

Question 3

A person is terminally ill.You are giving him a bath.Suddenly he tells you to stop,that you are hurting him,and that you do not know what you are doing.The person is very angry and upset.Which is incorrect?

A)The person is in the stage of anger.
B)You need to leave the room until the person calms down.
C)You must control the urge to show anger toward the person.
D)The person's anger is normal and healthy.

Answer 3

You need to leave the room until the person calms down.

Question 4

During which stage of dying does the person sometimes envy and resent those with life and health?

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

Question 5

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 6

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 7

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 8

Rigor mortis means

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

Question 9

Which age-group views death as punishment for being bad?

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

Question 10

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 11

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 12

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)A document stating the person's wishes about life support measures

Question 13

A person is terminally ill.Her doctor wants to talk to her about a "Do Not Resuscitate" order.The person tells the doctor to "go away" and turns her back.What stage of dying is she in?

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

Question 14

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 re-position her.What stage of dying is she in?

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

Question 15

Older persons usually fear dying

A)In pain
B)Alone
C)In a hospital
D)In a nursing center

Question 16

The examination of the body after death is

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

Question 17

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 18

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

Question 19

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 20

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

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

Question 21

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 22

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 23

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

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

Question 24

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 25

Which is an advance directive?

A)A doctor's order
B)A "Do Not Resuscitate" order
C)A living will
D)A Dying Person's Bill of Rights

Question 26

A person is terminally ill.She seems sad,and you see tears in her eyes.What stage of dying is she in?

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

Question 27

A patient is dying.His family is allowed to stay with him

A)Until bedtime
B)As long as they wish
C)During scheduled visiting hours
D)During the day

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

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 30

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

Question 31

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 32

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 33

Hospice care focuses on

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

Question 34

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

Question 35

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 36

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 37

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 follow the order.
D)You do not have to care for the person.

Question 38

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 prone position.

Question 39

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 40

A dying person gave "durable power of attorney" to his daughter.This means that his 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 41

Which does not promote quality of life?

A)Being forced to have treatment
B)A home-like setting
C)Being free from restraints
D)Having a clean and neat room

Question 42

In the Chinese culture,autopsy and disposal of the body are not prescribed by religion,however,donation of body parts is encouraged.

Question 43

Signs of death include the following except

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

Question 44

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 45

A resident is dying.Staff members go into the person's room only when the family uses the signal light.Which is correct?

A)The staff is providing privacy to the person and the family.
B)The staff is abusing the person.
C)The staff is neglecting the person.
D)The staff is allowing personal choice.

Question 46

You are assisting with post-mortem care.The body produces sounds during turning and re-positioning.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 47

In Vietnam,the preferred location of death is in the:

A)Long-term care facility
B)Temple
C)Hospital
D)Home

Question 48

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

Question 49

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 50

Which does not promote 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 confidential
D)Protecting the person's property before and after death

Question 51

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 52

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 53

Which health team member determines that death has occurred?

A)A doctor
B)An RN
C)An RN or LPN/LVN
D)Whoever is with the person at the time of death

Question 54

Post-mortem care is done to

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

Question 55

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