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WorksheetsDeath and Dying Self Assessment
Total questions: 20
Worksheet time: 10mins
Which of the following best defines palliative care?
Care provided only in the last week of life
Curative treatment for terminal illness
Care focused on relief of symptoms and improving quality of life
Psychological counseling for grieving families
Which of the following is a physical sign of impending death?
Increased appetite
Decreased urine output
Elevated blood pressure
Increased muscle tone
Which nursing intervention is most appropriate when caring for a dying patient experiencing noisy respirations ('death rattle')?
Administering antibiotics
Encouraging fluid intake
Suctioning the airway aggressively
Repositioning the patient and providing anticholinergic medication
The nurse is preparing a body after death. Which of the following is correct?
Remove all tubes without a death certificate
Keep dentures out of the mouth
Close the eyes and mouth, and position the body supine
Avoid documentation after death
According to Kübler-Ross's stages of grief, which stage involves the patient refusing to believe they are dying?
Bargaining
Denial
Depression
Acceptance
Which nursing action best demonstrates culturally competent end-of-life care?
Encouraging Western-style funeral practices
Providing spiritual care based only on the nurse's beliefs
Asking the family about preferred rituals and traditions
Telling the family what is best for the patient
Which document allows patients to express their wishes for end-of-life care?
Death certificate
Informed consent
Advance directive
Medication list
The nurse understands that hospice care is primarily intended for clients who:
Are undergoing curative treatment
Have a prognosis of six months or less to live
Are seeking aggressive interventions
Require long-term rehabilitation
Which of the following best describes anticipatory grief?
Grief that occurs after a loss
Grief that is delayed and unresolved
Grief that occurs before the actual loss
Grief that is pathological
Which is the nurse's priority role in end-of-life care?
Determining the time of death
Providing comfort and dignity
Diagnosing the cause of death
Conducting religious rituals
When a patient says, "Why is this happening to me?" the nurse recognizes the stage of:
Denial
Anger
Bargaining
Depression
In Kenyan law, who is responsible for issuing a medical death notification?
Family members
Clinical officer or medical doctor
Nursing officer in-charge
Mortuary attendant
What is the primary goal of spiritual care at end-of-life?
Convert the patient to a particular religion
Support the patient's belief system and provide comfort
Replace emotional care with spiritual rituals
Avoid religious discussions
Postmortem care should begin:
After the family has left
Once the body is removed from the unit
Immediately after death is confirmed
After burial arrangements are made
Which of the following is an emotional sign of impending death?
Confusion
Muscle rigidity
Cheyne-Stokes respirations
Pallor
The nurse explains that Cheyne-Stokes respirations are:
Regular shallow breaths
Deep, rapid breathing
Irregular breathing with apnea and deep breathing
Complete cessation of breathing
A nurse documents 'death at 10:12 PM.' This should be based on:
Personal observation
The doctor's certification
Family report
An estimate
The most therapeutic response to a grieving family is:
'You will be fine soon.'
'I understand exactly how you feel.'
'This must be very difficult for you.'
'At least your loved one is no longer suffering.'
Which of the following shows the nurse is supporting the family's grief process?
Telling them to go home and rest
Staying present and allowing silence
Avoiding eye contact to reduce distress
Encouraging immediate acceptance
A newly graduated nurse asks, 'How do I cope with frequent patient deaths?' The best advice is:
Ignore the feelings and remain professional
Seek peer support and use debriefing resources
Resign from working in palliative care
Avoid building rapport with dying patients
