Question 1

A patient is dying. The following measures promote comfort except

Accepted Answer

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

Question 2

An advance directive is

Accepted Answer

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)  Also known as the "Do Not Resuscitate" order 
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)  Also known as the "Do Not Resuscitate" order C

Question 3

Signs that death is near include the following except

Accepted Answer

A)  Loss of muscle tone 
B)  Peaceful facial expression 
C)  Shallow respirations 
D)  Gastro-intestinal functions increase 
A)  Loss of muscle tone 
B)  Peaceful facial expression 
C)  Shallow respirations 
D)  Gastro-intestinal functions increase D

Question 4

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?

Accepted Answer

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

Question 5

Which does not promote quality of life?

Accepted Answer

A)  Being forced to have treatment 
B)  Being involved in treatment and care 
C)  Being free from restraints 
D)  Having a clean and neat room 
A)  Being forced to have treatment 
B)  Being involved in treatment and care 
C)  Being free from restraints 
D)  Having a clean and neat room

Question 6

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

Accepted Answer

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. 
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 7

Adults and older persons usually fear dying

Accepted Answer

A)  Alone 
B)  At home 
C)  In a hospital 
D)  In a nursing center 
A)  Alone 
B)  At home 
C)  In a hospital 
D)  In a nursing center

Question 8

A resident is dying. The person's care plan includes the following. Which should you question?

Accepted Answer

A)  Provide oral hygiene every hour. 
B)  Remove the blanket or bedspread. 
C)  Change linens and gown as needed. 
D)  Maintain semi-Fowler's position. 
A)  Provide oral hygiene every hour. 
B)  Remove the blanket or bedspread. 
C)  Change linens and gown as needed. 
D)  Maintain semi-Fowler's position.

Question 9

Your feelings about death

Accepted Answer

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 
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 10

A patient is dying. The person has trouble breathing. Which position will the person most likely prefer?

Accepted Answer

A)  Prone 
B)  Supine 
C)  Dorsal recumbent 
D)  Semi-Fowler's 
A)  Prone 
B)  Supine 
C)  Dorsal recumbent 
D)  Semi-Fowler's

Question 11

Hospice care focuses on

Accepted Answer

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

Question 12

Reincarnation is the belief that

Accepted Answer

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 
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 13

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?

Accepted Answer

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

Question 14

You are assisting with post-mortem care. Dentures are not inserted. What should you do with them?

Accepted Answer

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. 
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 15

A resident is dying. The person is incontinent of urine and feces. The person needs

Accepted Answer

A)  A catheter and enemas 
B)  Perineal care as needed 
C)  Catheter care 
D)  Bladder and bowel training 
A)  A catheter and enemas 
B)  Perineal care as needed 
C)  Catheter care 
D)  Bladder and bowel training

Question 16

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

Accepted Answer

A)  Medical asepsis and surgical asepsis 
B)  Sterile technique and isolation precautions 
C)  Standard Precautions and the Bloodborne Pathogen Standard 
D)  The care plan 
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 17

Which does not promote quality of life?

Accepted Answer

A)  Providing privacy when the dying person is visiting with family and friends 
B)  Keeping the person's final moments confidential 
C)  Protecting the person's property before and after death 
D)  Exposing the body after death 
A)  Providing privacy when the dying person is visiting with family and friends 
B)  Keeping the person's final moments confidential 
C)  Protecting the person's property before and after death 
D)  Exposing the body after death

Question 18

A dying person gave "durable power of attorney for health care" to his daughter. This means that the person's daughter

Accepted Answer

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 
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 19

Signs of death include the following except

Accepted Answer

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

Question 20

Post-mortem means

Accepted Answer

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

Exam 32: Assisting With End-Of-Life Care

A patient is dying. The following measures promote comfort except

An advance directive is

Signs that death is near include the following except

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?

Which does not promote quality of life?

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

Adults and older persons usually fear dying

A resident is dying. The person's care plan includes the following. Which should you question?

Your feelings about death

A patient is dying. The person has trouble breathing. Which position will the person most likely prefer?

Hospice care focuses on

Reincarnation is the belief that

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?

You are assisting with post-mortem care. Dentures are not inserted. What should you do with them?

A resident is dying. The person is incontinent of urine and feces. The person needs

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

Which does not promote quality of life?

A dying person gave "durable power of attorney for health care" to his daughter. This means that the person's daughter

Signs of death include the following except

Post-mortem means

Hospitals and Nursing Centers

The Persons Rights

The Nursing Assistant

Work Ethics

Communicating With the Health Team

Understanding the Person

Body Structure and Function

Care of the Older Person

Assisting With Safety

Assisting With Fall Prevention

Restraint Alternatives and Safe Restraint Use

Preventing Infection

Body Mechanics

Assisting With Moving and Transfers

Assisting With Comfort

Assisting With Hygiene

Assisting With Grooming

Assisting With Urinary Elimination

Assisting With Bowel Elimination

Assisting With Nutrition and Fluids

Assisting With Assessment

Assisting With Specimens

Assisting With Exercise and Activity

Assisting With Wound Care

Assisting With Pressure Ulcers

Assisting With Oxygen Needs

Assisting With Rehabilitation and Restorative Nursing Care

Caring for Persons With Common Health Problems

Caring for Persons With Mental Health Disorders

Caring for Persons With Confusion and Dementia

Assisting With Emergency Care

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