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CNA 2023
Chapter 45- End-of-Life care
| Question | Answer |
|---|---|
| An advance directive is: | a document stating person's wishes about health care when that person cannot make such decisions. |
| Postmortem means; | after death |
| Reincarnation is the belief that | the spirit or soul is reborn in another human body or in another form of life |
| Rigor mortis means: | the stiffness of skeletal muscles that occurs after death. |
| A person has a terminal illness. This mans that: | there is no reasonable expectation of recovery |
| your feelings about death: | affect the care you give. |
| Which statement concerning attitudes about death is correct? | They are influenced by age. |
| Which age-group has no concept of death? | infants and toddlers |
| Which age-group views death as temporary? | Children between the ages of 2 and 6 years. |
| Which age-group views death as punishment for being bad? | Children between the ages of 2 and 6 years. |
| Children between the ages of 2 and 6 years: | blame themselves when someone or something dies |
| Why do many adults resent death? | It affects plans, hopes and dreams |
| Older person usually fear dying: | alone. |
| 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? | denial |
| 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 staff is rough when they turn and reposition her. In what stage of dying is this resident? | Anger |
| 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 don not know what you are doing. She is vey angry and upset. Which statement is correct? | You must control the urge to let her know that she has upset you |
| 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? | Bargaining |
| A resident is terminally ill. She seems sad, and you see tears in her eyes. In what stage of dying is the resident? | Depression |
| 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/ | Depression |
| 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? | Acceptance |
| 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? | Say nothing. Let her do the talking. |
| A resident is terminally ill. The person's pastor comes for a visit. What should you do? | Provide privacy |
| 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? | Explain what you are doing to that person or in the room |
| A resident is dying. When communicating with the person, which is correct? | Offer words of comfort |
| A resident is dying. Which of the following would be included in the person's care plan? | Remove the blanket or bedspread |
| A resident is dying. The person is incontinent of urin and feces. The person needs: | perineal care as needed. |
| A resident is dying. Which will promote the person's comfort? | Position the person in good alignment. |
| A resident is dying. The person has trouble breathing. Which position will the person most likely prefer? | Semi-Fowlers |
| A resident is dying. Which of the following measures promote comfort? | Good body alignment |
| A resident is dying. The person's room is arranged: | as the person wishes. |
| A resident is dying. His family is allowed to stay with him: | as long as they wish. |
| A resident is dying. He and his family have the right to: | Privacy |
| Hospice care focuses on: | pain relief and comfort. |
| Which is an advance directive? | A living will |
| A resident is dying. He gave "durable power of attorney" to his daughter. This means that his daughter: | can make his health care decisions when he cannot |
| A resident is dying. The doctor wrote a "Do Not Resuscitate" order. You do not agree with the order. Which statement is correct? | You must follow the order |
| Signs that death is near include which of the following? | Blood pressure falls |
| Signs of death include which of the following? | No pulse |
| Post-mortem care is done to: | maintain a good appearance of the body. |
| Before rigor mortis sets in, the body is: | positioned in normal alignment |
| You are assisting with post-mortem care. The body produces sounds curing turning and repositioning. Which is correct? | The sounds are normal and expected |
| You are assisting with post-mortem care. You must follow: | Standard Precautions and the Bloodborne Pathogen Standard |
| You are assisting with post-mortem care. how is the body positioned? | In the supine position |
| You are assisting with post-mortem care. Dentures are not inserted. What should you do with them? | Put them in a denture container labeled with the person's name. |
| Which promotes quality of life? | Providing privacy when the dying person is visiting with family ad friends. |
| Which promotes quality of life? | Being in a home-like setting |
| A resident is dying. Staff member go into the person's room only when the family uses the signal light. which statement is correct? | The staff is neglecting the person. |
| As death nears, hearing is one of the first functions lost. | False |
| The right to privacy and the right to be treated with dignity and respect do not apply after death. | False |
| Signs that death is near include which of the following? | Peaceful facial expression |