Module 14

A resident has terminal breast cancer and says she wants to live three more months to see her first grandchild. According to Kubler-Ross, in what stage of the grief process is this resident?

• Denial
• Bargaining
• Depression
• Acceptance

A resident is dying of a lung disease. He has been recently yelling at the staff. What stage of the grief process may this be?

• Anger
• Acceptance
• Depression
• Denial

The dying resident has a right to:

• Read their facility record at any time they choose
• Refuse life-prolonging measures
• Refuse to pay for any services
• Request the Nurse Assistant to give him medications

Mr. Huang is terminally ill and has lost consciousness. The Nurse Assistant should:

• Tell his family that death is only a few hours away
• Turn and reposition him less frequently
• Keep the room very bright and noisy
• Remember that the resident may still be able to hear

One of the signs of biological death would include:

• Bradycardia (slow heartbeat)
• Hypertension (high blood pressure)
• Lack of respirations (resident is not breathing)
• Agitation (resident is active and jumpy

Mrs. O’Leary always keeps her rosary and medals with her at all times. These objects should be:

• Ignored since it is better to avoid discussion about religion
• Placed on bedside table where she can’t get to it
• Removed as soon as she goes to sleep so they are not lost
• Left with Mrs. O’Leary and handled as valuable items

One of the goals of hospice care is to:

• Help the resident in making the dying process less painful physically and psychologically
• Prolong life above all else
• Provide an elimination of all disease symptoms and pain
• Provide an opportunity for death by giving too many drugs

Keeping the terminally ill residents comfortable includes:

• Keeping the bed in a flat position
• Providing skin care and linen changes
• Discouraging any visitors
• Only turning the resident every 6 hours

It is important for the Nurse Assistant to monitor the condition of the dying resident, who has written an Advanced Directive not to resuscitate him, so that they can:

• Provide physical and emotional support
• Provide large serving of food frequently
• Notify the physician of the exact time of death
• Give medication

Usually the first task after the resident has died and before the family comes to visit is to:

• Wrap the body in a shroud for transfer to a mortuary
• Notify the mortuary for immediate transfer of the body
• Just leave the resident as is
• Prepare the body for viewing by family members