Chapter 52 End-of-Life Care

An advance directive is

A document stating a personâ??s wishes about health care when that person cannot make such decisions

Post-mortem means

After death

Post-mortem care is done

After the doctor pronounces the person dead

A patient is dying. His family is allowed to stay with him

. As long as they wish

Which health team member determines that death has occurred?

A doctor

Dr. Elisabeth Kubler-Ross 5 Stages of Dying: STAGE 5

ACCEPTANCE: The person is calm and at peace. The person has said what he needs to be said. Unfinished business is completed. The person accepts death.

Dr. Elisabeth Kubler-Ross 5 Stages of Dying: STAGE 2

ANGER: The person thinks "WHY ME?". There is anger and rage. Dying persons envy and resent those with life and health.

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?

Acceptance

Your feelings about death

Affect the care you give

Older persons usually fear dying

Alone

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 re-position her. What stage of dying is she in?

Anger

During which stage of dying does the person sometimes envy and resent those with life and health?

Anger

A patient is dying. The personâ??s room is arranged

As the person and family wish

The examination of the body after death is

Autopsy

Dr. Elisabeth Kubler-Ross 5 Stages of Dying: STAGE 3

BARGAINING: Anger has passed. The person now says: "Yes, me but....". Often the person bargains with God or a higher power for more time.

A person is terminally ill. He is very quiet. You often find him reading his Bible. One day he says, â??I just want to see my grandson graduate from high school.â? What stage of dying is the person in?

Bargaining

A person tries to gain more time during the stage of

Bargaining

Which does not promote quality of life?

Being forced to have treatment

A "DNR" order means that

CPR will not be done

A dying person gave â??durable power of attorneyâ? to his daughter. This means that his daughter

Can make his health care decisions when he cannot

Which age-group views death as punishment for being bad?

Children between the ages of 2 and 6 years

Which age-group views death as temporary?

Children between the ages of 2 and 6 years

Dr. Eilsabeth Kubler-Ross 5 Stages of Dying: STAGE 1

DENIAL: The person refuses to believe that he or she is dying

Dr. Elisabeth Kubler-Ross 5 Stages of Dying: STAGE 4

DEPRESSION: The person thinks Yes,me" and is very sad. The person mourns things that were lost and the future loss of life.

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?

Denial

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

Denial, anger, bargaining, depression, and acceptance

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?

Depression

A person is terminally ill. She seems sad, and you see tears in her eyes. What stage of dying is she in?

Depression

You are assisting with post-mortem care. The body produces sounds during turning and re-positioning. Which is correct?

The sounds are normal and expected.

Adults and older persons usually fear

Dying alone

Which age-group does not understand the nature of death?

Infants and toddlers

Reincarnation is the belief that

The spirit or soul is reborn in another human body or in another form of life

Which does not promote quality of life?

Exposing the body after death

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

A patient is dying. The person and his family have the right to

Privacy

A patient is dying. The following measures promote comfort except

Friction and shearing

Signs that death is near include the following except

Gastro-intestinal functions increase

The dying person is positioned in

Good body alignment

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

Home

A resident is terminally ill. The personâ??s care plan includes the following. Which should you question?

Keep the room dark.

Children between the ages of 6 and 11 years

Learn that death is final

Post-mortem care is done to

Maintain a good appearance of the body

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

Maintain prone position

A resident is dying. Staff members go into the personâ??s room only when the family uses the signal light. Which is correct?

The staff is providing privacy to the person and the family.

Rigor mortis means

The stiffness of skeletal muscles that occurs after death

The signs of death are

No pulse, respirations, or blood pressure

Signs that death is near include the following except

Pain increases

Hospice care focuses on

Pain relief and comfort

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

Perineal care as needed

Before rigor mortis sets in, the body is

Positioned in normal alignment

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

Provide privacy.

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 personâ??s name.

Question text A patient is dying. Which will not promote the personâ??s comfort?

Re-position the person every shift .

Persons in the stage of denial

Refuse to believe they are dying

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

Semi-Fowlerâ??s

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

Speak loudly

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

Standard Precautions and the Bloodborne Pathogen Standard

A person has a terminal illness. This means that

The person will not likely recover

A five-year-old views death as

Temporary

Signs of death include the following except

The pupils constrict

Which statement concerning attitudes about death is incorrect?

They stay the same throughout adulthood.

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

True

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

True

A resident is dying. The doctor wrote a â??Do Not Resuscitateâ? order. You do not agree with the order. Which is correct?

You must follow the order.

A person is terminally ill. You are giving him a bath. Suddenly he tells you to stop, that you are hurting him, and that you do not know what you are doing. The person is very angry and upset. Which is incorrect?

You need to leave the room until the person calms down.