Deck 48: End Of Life Care

Question 1

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 1

After death

Question 2

A resident is terminally ill.She has given pieces of jewelry to each child.She also has selected songs for her funeral.In what stage of dying is this resident?

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

Answer 2

Acceptance

Question 3

Children between the ages of 2 and 6 years

A)Blame themselves when someone or something dies
B)Know that death is final
C)Fear pain and suffering
D)Believe that death can be avoided

Answer 3

Blame themselves when someone or something dies

Question 4

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 5

A person has a terminal illness.This means that

A)The person will recover
B)There is no reasonable expectation of recovery
C)There is an end to the illness
D)The illness ends with a cure

Question 6

A resident is terminally ill.He often talks about not being able to see his grandchildren grow up.He talks about never being a great-grandfather.In what stage of dying is the resident?

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

Question 7

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 8

Older persons usually fear dying

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

Question 9

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 10

Which age-group has no concept of death?

A)Infants and toddlers
B)Children between the ages of 3 and 5 years
C)Children between the ages of 5 and 7 years
D)Teenagers

Question 11

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 incorrect?

A)She is in the stage of anger.
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 normal and healthy.

Question 12

A resident 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." In what stage of dying is the resident?

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

Question 13

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 14

Why do many adults resent 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 15

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 16

A resident is terminally ill.She seems sad,and you see tears in her eyes.In what stage of dying is the resident?

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

Question 17

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

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

Question 18

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 19

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 20

A resident 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.In what stage of dying is this resident?

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

Question 21

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 22

A resident is dying.He and his family have the right to

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

Question 23

A resident 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 24

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 25

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.

Question 26

Signs that death is near include all of the following except

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

Question 27

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

Question 28

A resident is dying.He 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 29

Signs of death include all of the following except

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

Question 30

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 31

A resident is dying.All of the following measures promote comfort except

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

Question 32

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

A)Re-position the person every 4 hours.
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 all of the following except

A)Loss of muscle tone
B)Peaceful facial expression
C)Slow or rapid respirations
D)Increased gastrointestinal functions

Question 34

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 35

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

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

Question 36

A resident is dying.The doctor wrote a "Do Not Resuscitate" order.You do not agree with the order.Which statement 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 37

A resident 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 38

A resident 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 39

Hospice care focuses on

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

Question 40

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 the semi-Fowler's position.

Question 41

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 in a shroud

Question 42

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 43

Which does not promote quality of life?

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

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

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 46

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

Question 47

A resident is dying.Staff members go into the person's room only when the family uses the signal light.Which statement 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 48

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

A)Surgical asepsis
B)Sterile technique
C)Standard Precautions and the Bloodborne Pathogen Standard
D)The care plan

Question 49

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 50

You are assisting with post-mortem care.How is the body positioned?

A)As the family chooses
B)Prone
C)In the supine position
D)In the semi-Fowler's position