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WorksheetsEnd-of-Life Care Quiz
Total questions: 42
Worksheet time: 21mins
What does the term "terminal illness" refer to?
A condition that can be cured with medication
A chronic condition requiring lifelong treatment
A state in which an individual faces a medical condition that will result in death
An illness caused by poor nutrition
A patient in denial may:
Easily accept their diagnosis
Seek multiple medical opinions and not believe the diagnosis
Want to stay in the hospital indefinitely
Immediately begin treatment
With a patient experiencing denial, do not:
Encourage denial
Discourage reasonable second opinions
Ignore the patient's concerns
Recommend aggressive treatment
Assist the client experiencing denial by:
Ignoring their questions
Arguing with them
Facilitating communication between client and physician
Forcing them to accept the diagnosis
When a patient is experiencing anger, they may:
Be withdrawn and quiet
Act out in rage and look to blame others
Refuse all visitors
Become extremely passive
Assisting the client experiencing anger:
Avoid them completely
Force them to talk about their feelings
Encourage discussion without forcing and not take outbursts personally
Recommend medication immediately
What characterizes the bargaining stage?
Refusing all treatments
Making deals with God or oneself
Isolation from others
A desire for more pain medication
Assisting the client experiencing the bargaining phase:
Avoid discussing spiritual matters
Discourage family support
Encourage family support and spiritual assistance if desired
Force them to accept reality
In the depression stage, the person:
Becomes extremely active
Realizes that they will die and nothing can stop it
Starts new projects
Avoids thinking about their illness
Assisting with the depression stage:
Encourage intense exercise
Allow rest, provide gentle touch and emotional support
Avoid any form of contact
Force the patient to socialize
In the acceptance stage, the client:
Is usually very happy
Resolves emotional conflicts about death
Denies their illness
Refuses any help
Assisting with the acceptance stage:
Provide physical and emotional support without judgment
Criticize the client's beliefs
Encourage denial
Force positive thinking
What does the PSDA of 1990 stand for?
Public Safety and Disaster Act
Patient Self-Determination Act
Patient Standard Directive Act
Public Self-Directive Act
Which of the following is protected by the PSDA of 1990?
Mandatory hospitalization
Choosing their doctor
Appointing a surrogate and having wishes honored by providers
Unlimited hospital stays
DNR stands for:
Do not resist
Do not respond
Do not resuscitate
Do not remove
DNI stands for:
Do not notify
Do not inform
Do not intubate
Do not intervene
DNH stands for:
Do not handle
Do not help
Do not hospitalize
Do not hope
What is the main goal of palliative care?
Cure the disease
Provide physical therapy
Emphasize comfort and pain control
Promote exercise
Hospice care is designed to:
Cure terminal illnesses
Focus on rehabilitation
Assist with end of life for client and family
Encourage aggressive treatments
Which needs are prioritized at end of life?
Emotional needs first
Physical needs first
Financial needs first
Spiritual needs first
Patients nearing death often need care for:
Mouth breathing and dry mucous membranes
Skin hydration
Hair care
Foot massage
Why is repositioning important for patients near death?
To exercise their muscles
To help with digestion
To prevent skin breakdown and assist breathing
To keep them awake
Patients near death usually:
Have an increased appetite
Eat large meals
Have a decreased appetite
Require forced feedings
Why might a patient refuse food near death?
Lack of interest
Side effects of medication
Expected discomfort during eating
Poor meal preparation
Patients may lose control of:
Temper
Bowel and bladder function
Vision
Appetite
How should self-esteem be supported?
By giving expensive gifts
By encouraging focus on life achievements
By encouraging denial
By forcing optimism
How can friends provide diversion?
Sending cards or emails
Organizing large parties
Bringing new pets
Rearranging the patient's room
What type of visits are encouraged?
Long visits from all friends
Short visits from family and friends
No visits at all
Medical team only
Religion may help patients by:
Forcing beliefs on them
Providing hope of a cure
Supporting spirituality and reaffirming beliefs
Discouraging family involvement
Clinical death occurs when:
The heart rate speeds up
The person is unconscious
Respirations and heartbeat stop
The patient falls asleep
Who must pronounce death in most states?
Any nurse
Family member
Healthcare provider
Clergy
Who can pronounce death at home?
Family member
Professional hospice care or coroner
Neighbor
Any bystander
Facilities often:
Fire staff members
Hold meetings for mutual support
Avoid discussing death
Remove the healthcare provider
Family coping varies based on:
Age of the patient
The illness only
Values, relationships, beliefs, and personalities
The number of visitors
Methods of pain management include:
Only strong medication
Ignoring the pain
Medications, self-hypnosis, guided imagery, acupuncture/acupressure
Constant physical activity
Just before death, pain may:
Increase greatly
Disappear or ease
Be uncontrollable
Become more noticeable
What type of environment is best near death?
Noisy and bright
Uncomfortably cold
Comfortable temperature with soothing sounds
Crowded and busy
When approaching death, urine:
Increases and lightens
Decreases and darkens
Increases and darkens
Stays the same
When approaching death, there may be loss of recognition of:
Only strangers
Only family
Familiar people, places, or objects
Medical staff
When approaching death, skin:
Warms and reddens
Becomes cool and mottled
Remains unchanged
Turns blue
When approaching death, breathing:
Speeds up
Becomes noisy and irregular (Cheyne-Stokes)
Is unaffected
Increases in depth
Other signs of approaching death include:
Euphoria and energy bursts
Increased appetite
Restlessness and dry mouth
Strong emotional outbursts
