Question 1

The health-care worker clarifies to the family of a dying patient that palliative care includes: (Select all that apply. )

Accepted Answer

A)  patient-centered care 
B)  analgesics 
C)  oxygen therapy 
D)  curative therapy 
E)  laxatives

Question 2

The sensitive health-care worker can demonstrate therapeutic presence by:

Accepted Answer

A)  keeping family informed about patient's condition every hour. 
B)  remaining near the patient and family. 
C)  calling the chaplain to administer to the family. 
D)  giving pain medication every 4 hours.

Question 3

The health-care worker can support grieving families at the time of death by:

Accepted Answer

A)  allowing the family time to stay with the loved one after the death. 
B)  calling the funeral home to collect the body. 
C)  uttering consoling phrases such as "I know how you feel." 
D)  emphasizing that the painful grieving should last less than a year.

Question 4

Patients and families progress through various stages of reactions when a diagnosis of a terminal illness is made.After the helplessness phase,a period of adjustment usually follows.This phase is characterized by:

Accepted Answer

A)  social reintegration. 
B)  denial. 
C)  guilt. 
D)  acceptance.

Question 5

The health-care worker recommends the services of _____________,a community health-care organization specializing in the care of dying patients and their families.

Accepted Answer

The answer of The health-care worker recommends the services of...

Question 6

The best practice in promoting quality of life for a terminally ill 10-year-old child would be:

Accepted Answer

A)  focused on the child's chronological age. 
B)  allowing the child to return to his or her regular classroom. 
C)  having the child cared for only by health-care providers, who are more objective than families. 
D)  placing the child in a health-care facility for treatment and care.

Question 7

An 8-year-old child with a terminal illness is returning to school after having received treatment that has caused hair and weight loss.The most appropriate action by the school nurse would be to:

Accepted Answer

A)  recommend that the child's parents attend school at first to prevent teasing. 
B)  refer the child to a home school program. 
C)  discuss with the child and the parents that the child's classmates will not accept him or her as before. 
D)  prepare the child's classmates and teachers for changes they can expect.

Question 8

When parents ask if their school-age child should attend the funeral of their grandmother,the health-care worker would base a response on the understanding that attendance will:

Accepted Answer

A)  provide an closure for the child. 
B)  be a frightening experience. 
C)  be a deeply religious experience. 
D)  be parents' responsibility is to protect the child from distressing events.

Question 9

A psychological death occurs begins when the:

Accepted Answer

A)  dying person begins to discuss end-of-life rituals. 
B)  person is informed of a terminal illness. 
C)  terminally ill person gives up hope. 
D)  person loses confidence in his curative protocols.

Question 10

The health-care worker assesses a normal response in a dying 8-year-old boy who says:

Accepted Answer

A)  "I am too young to die. God is being cruel to make me die!" 
B)  "I cry because my mom cries a lot." 
C)  "I will miss my mom and dad, but my grandmother in heaven will take care of me." 
D)  "After I am dead, I can come back and be with my mom and dad again."

Question 11

A terminally ill patient is unresponsive and having periods of apnea.The patient's family is arguing at the bedside about where the funeral should be held.The health-care worker should:

Accepted Answer

A)  remind the family that this should be the patient's decision. 
B)  ask the family members to leave the room. 
C)  take the family members aside and explain that the patient may be able to hear them. 
D)  tell the family members that such decisions are premature.

Question 12

A 90-year-old West Indian man is dying,and 20 family members fill the hall as they try to crowd into the room.The culturally competent health-care worker will:

Accepted Answer

A)  inform the family that only 3 or 4 at a time should try to be at the bedside. 
B)  move out unnecessary furniture to make room for the family. 
C)  direct the family to the waiting room so they will have more space. 
D)  call the chaplain to pray with the family.

Question 13

A school-age child is diagnosed with a terminal illness.The parents want to protect their child from knowing the seriousness of the illness.The health-care worker should explain that:

Accepted Answer

A)  denial will help the child cope more effectively. 
B)  this attitude is helpful in order to give the parents more time to cope. 
C)  terminally ill children usually do not wish to discuss the seriousness of their illness. 
D)  truthfulness in understandable terms is the most supportive approach.

Question 14

The impending signs of death include: (Select all that apply. )

Accepted Answer

A)  thirst. 
B)  anorexia. 
C)  pulmonary congestion. 
D)  flushed face. 
E)  mottled extremities.

Exam 15: Planning for the End of Life