Question 1

Which of the following is true regarding the support worker's feelings about death?

Accepted Answer

The support worker's feelings about death can affect the care given to the dying client. It is important for the support worker to be aware of their own emotions and feelings about death to prevent it from negatively affecting the client's care. However, it does not necessarily mean that these feelings need to be shared with the client or the nurse.

Question 2

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

Accepted Answer

The client's response of telling the doctor to "go away" suggests that they are in the anger phase of the dying process.

Question 3

Which of the statements below is true of some older adults and their attitude towards dying?

Accepted Answer

While it is not true of all older adults, some do have a more positive attitude towards death and may welcome it as a natural part of life. However, this attitude is not universal and may depend on cultural and individual beliefs. The other statements (A, C, D) are not necessarily true of all older adults and may vary depending on their personal preferences and circumstances.

Question 4

A client is terminally ill.She has given away pieces of her jewellery to her children.She also has selected songs for her funeral service.What stage of dying is she in?

Accepted Answer

The client's behavior of giving away pieces of her jewelry to her children and selecting songs for her funeral service indicates that she has reached the stage of acceptance in the dying process. This stage is characterized by a sense of peace and a willingness to let go.

Question 5

The examination of the body after death is called which of the following?

Accepted Answer

An autopsy is a post-mortem examination of the body to determine the cause of death. Rigor mortis refers to the stiffening of the body after death, while reincarnation refers to the belief in rebirth after death. Resuscitation refers to the act of reviving a person who has stopped breathing or whose heart has stopped beating.

Question 6

A client has been told that she has cancer and that it cannot be treated.She insists that the reports are wrong.What stage of dying is the client in?

Accepted Answer

The client's refusal to accept the report and insistence that it is wrong is a classic symptom of the denial stage of dying. This is when the individual has difficulty accepting the diagnosis and may even look for alternative opinions to confirm that they are not really dying.

Question 7

Why do adults sometimes fear death?

Accepted Answer

Adults may fear death because they may have regrets about missed opportunities or unfulfilled goals that they wanted to achieve. The fear of not having lived their life to the fullest can be very real for many people.

Question 8

Which is correct about children between the ages of 5 and 7 years?

Accepted Answer

Children between the ages of 5 and 7 years begin to understand that death is final. They may still have some confusion about the concept and may not fully grasp the idea of permanence, but they begin to understand that death means that the person who died will not come back.

Question 9

A client is in palliative care.Her pain is severe, and she blames the staff for her pain.She complains about having to wait for pain-relief drugs.She also says that the staff members are rough when they turn and reposition her.What stage of dying is she in?

Accepted Answer

The client's intense pain and blaming the staff for it, as well as expressing frustration with waiting for pain medication and feeling uncomfortable with the physical care provided, all suggest that she is in the anger stage of dying. It is important for the staff to be aware of this and offer empathetic support while also ensuring that her pain is managed as effectively as possible.

Question 10

Which age group thinks death will not happen to them?

Accepted Answer

Children between the ages of 5 and 7 years typically exhibit a belief in the concept of death, but they often believe that it will not happen to them personally. This is known as the "invincibility fable" or "myth of invulnerability." Infants and toddlers have no concept of death, and children between the ages of 3 and 5 years are just beginning to understand it. Adults generally have a more realistic view of death.

Question 11

According to Dr.Elisabeth Kübler-Ross, what are the five stages of dying?

Accepted Answer

Dr. Elisabeth Kübler-Ross proposed the following five stages of dying: Denial, anger, bargaining, depression, and acceptance. These stages may not necessarily occur in a particular order, and not everyone experiences all of them. However, they are meant to provide a framework for understanding the emotional and psychological processes that many people go through when faced with the reality of their own mortality.

Question 12

Which age group views death as temporary?

Accepted Answer

Children between the ages of 3 and 5 years often view death as temporary and reversible, a belief stemming from magical thinking and not fully understanding the permanence of death.

Question 13

What is an advance directive?

Accepted Answer

An advance directive is a legal document that states a person's wishes regarding medical treatment in the event that the person becomes unable to make their own decisions. It can also designate someone to make health care decisions on their behalf. It is important to have an advance directive to ensure that a person's wishes are carried out if they become unable to communicate them. The other options (A, B, and D) are not accurate definitions of an advance directive.

Question 14

A client is terminally ill.He often talks about not being able to see his grandchildren grow up.He talks about never experiencing being a great-grandfather.What stage of dying is he in?

Accepted Answer

The client's statements about not being able to see his grandchildren grow up and never experiencing being a great-grandfather indicate feelings of sadness, hopelessness, and despair, which are characteristic of the depression stage of dying.

Question 15

Olive believes that in her next life things will be much different.This is an example of her belief in which of the following?

Accepted Answer

Olive's belief in a "next life" implies a belief in reincarnation, where the spirit or soul is reborn in another body or form of life. Option B refers to the concept of punishment in the afterlife, which is not mentioned in Olive's belief. Option C refers to physical form, which is not necessarily relevant to Olive's belief in reincarnation. Option D refers to a concept of an afterlife that is completely different from the idea of reincarnation.

Question 16

Lisa is now 89 years old, and the support worker is aware that which of the following will affect her attitude toward death?

Accepted Answer

Lisa's age and religion are likely to affect her attitude toward death, as those factors can influence her beliefs and perspectives on the afterlife or life purpose. The other options may also be relevant, but are not necessarily as directly tied to her attitude toward death.

Question 17

Several hours after Diane's client has died, the body will have rigor mortis.What does this term mean?

Accepted Answer

Rigor mortis is the stiffening of body muscles that occurs after death. This happens because, after death, the body's muscles start to break down, causing the body to stiffen.

Question 18

A client 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 this client in?

Accepted Answer

The client's statement about wanting to see their grandson graduate from high school suggests that they are bargaining with their impending death, hoping to delay it until they can cross a significant life event off their bucket list. This is a common stage of dying where the person may try to negotiate or bargain with any higher power or medical professionals to extend their life.

Question 19

The term postmortem means which of the following?

Accepted Answer

Postmortem refers to events or actions that occur after death.

Question 20

Which age group does not understand the nature of death?

Accepted Answer

Infants and toddlers do not have the cognitive ability to understand the concept of death. They may observe changes in behavior or environment, but they do not have the capacity to understand that death is a permanent cessation of life. Children between the ages of 3 and 5 years begin to grasp the finality of death, and children between the ages of 5 and 7 years have a more concrete understanding of death but may struggle with the emotional implications of loss. Adults have a full understanding of death.

Quiz 46: End-Of-Life Care