Hartman CNA Chapter 27 End of Life

After a resident dies the family can have what type of reactions? (choose all that apply)

• anxiety

• relief

• guilt

• chest pain

Ms. Fleming, a resident who has recently been diagnosed with terminal cancer, has accused the nursing assistants in her unit of taking poor care of her and causing her disease. In which stage of grief is Ms. Fleming?

• denial

• anger

• bargaining

• depression

Mr. Parker has always been cheerful and optimistic, but since his diagnosis of Alzheimer’s disease, he has been quiet and withdrawn. He does not seem to enjoy any of his favorite activities and rarely talks to anyone. In which stage of grief is Mr. Parker?

• depression

• bargaining

• denial

• acceptance

Mrs. Levine, a resident, prays about her terminal illness. She promises God that she will make peace with her sister, whom she has not seen in 20 years, if she is allowed to live. Which stage of grief is Mrs. Levine going through?

• denial

• anger

• bargaining

• acceptance

A terminally ill resident, John Castillo, visits with his family. He discusses his funeral arrangements with them. He lets them know that he is concerned about their well-being after he is gone. He says he wants to spend as much time as possible with them before he dies. Mr. Castillo is going through the ________ stage of grief

• denial

• anger

• bargaining

• acceptance

Which of the following is part of The Dying Person’s Bill of Rights?

• I have the right to be told what to believe about life after death.

• I have the right to be cared for by someone who will always tell me what she thinks I want to hear

• I have the right to have my questions answered honestly.

• I have the right to be treated with forced cheerfulness.

Which of the following is true of a resident who is dying?

• Residents will always be able to express when they are in pain

• Residents should have their rooms brightly lit.

• Residents should lie flat on their backs to ease problems with breathing

• Residents should be fed slowly to help prevent choking and aspiration.

One way for nursing assistants to help meet the psychosocial and spiritual needs of a dying resident is to

• Leave the resident alone as much as possible

• Listen more, talk less

• Share their religious beliefs with the resident

• Tell the resident’s family things that the resident has told her about them

Which of the following is a sign of approaching death?

• Low blood pressure

• Sharper vision

• Warm, dry skin

• Heightened sense of touch

One change that might occur in the body after death is

• The mouth closes

• The body will not have a pulse, respiration, or blood pressure

• The eyes close

• The pupils constrict