Deck 55: 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

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

Answer 2

Children between the ages of 2 and 6 years

Question 3

According to 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 3

Denial,anger,bargaining,depression,and acceptance

Question 4

Which statement concerning attitudes about death is correct?

A) They are influenced by culture and religion.
B) They are influenced by other's opinions
C) They stay the same throughout adulthood.
D) They are formed at birth.

Question 5

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 6

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 7

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 8

Older persons usually fear dying:

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

Question 9

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 10

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 11

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 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

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 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

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 17

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 18

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 19

Which age-group understands that death is final?

A) Infants and toddlers
B) Children between the ages of 2 and 3 years
C) Children between the ages of 4 and 5 years
D) Teenagers

Question 20

The examination of the body after death is:

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

Question 21

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 22

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

A) Reposition the person every shift.
B) Provide skin care and personal hygiene once per day.
C) Give back massages if the person asks for it.
D) Position the person in good alignment.

Question 23

A resident is dying.Staff members go into the person's room only when the family uses the call 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 24

Hospice care focuses on:

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

Question 25

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 26

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 27

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 28

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) Explaining the person's final moments to the family members and friends
D) Allowing the friends and family to divide out the person's clothes and belongings

Question 29

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 30

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 31

A resident is dying.You would anticipate doing which of the following for the person?

A) Continue to feed the person even if she does not want to eat.
B) Provide extra blankets so that the person stays extra warm.
C) Keep the room dark.
D) Avoid bright lights and glares.

Question 32

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

A) Speak loudly.
B) Assume that the person can no longer hear if he does not provide a response to you.
C) Ask open-ended questions which lead into a conversation.
D) Offer words of comfort.

Question 33

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

A) Tell him that you need to give care in 10 minutes.
B) Provide privacy.
C) Ask if you can pray with him.
D) Ask what he/ believes about the afterlife.

Question 34

A resident is dying.Which of the following would you anticipate being in the person's care plan?

A) Provide oral hygiene every day.
B) Add extra blankets or a bedspread.
C) Change linens and gown as needed.
D) Maintain prone position.

Question 35

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 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 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 38

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

A) Infrequent position changes to keep the person still
B) Poor body alignment
C) Supportive devices
D) Friction and shearing

Question 39

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 40

Signs that death is near include which of the following?

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

Question 41

Signs that death is near include which of the following?

A) Loss of muscle tone
B) A tense facial expression or grimace
C) Deep respirations
D) Gastrointestinal functions increase

Question 42

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

Question 43

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 44

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

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

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 47

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

Question 48

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 49

Signs of death include which of the following?

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

Question 50

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

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

Question 51

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 52

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 53

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