Test Bank + Answers + The Terminally Ill Patient and + Ch.34

Chapter 34

Multiple Choice Questions

1. You are caring for a terminally ill client. Your first responsibility is to:

A) help make the client as comfortable as possible.

B) determine if the client is dead.

C) assist in meeting the emotional needs of the client.

D) assist in meeting the emotional needs of the family.

LO#3-Assist in meeting the psychosocial and spiritual needs of the client with life-limiting illness.

2. A client is not expected to recover from his/her illness. His/her family wants to know

what the doctor has said about the client's condition. You should:

A) refer them to your immediate supervisor.

B) answer them honestly.

C) call the doctor.

D) answer them so as to give hope.

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

3. You wish to give routine personal care to a dying client. His/her family is visiting. You should:

A) carry out your job quickly, quietly, and effectively.

B) wait until they leave.

C) not worry about it since he/she will not require routine personal care.

D) none of the above

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

4. Palliative care measures dictate that the room of a dying client should be

A) kept dimly lit.

B) kept dark.

C) made unusually bright.

D) adjusted to suit the client.

LO#3-Assist in meeting the psychosocial and spiritual needs of the client with life-limiting illness

5. Rigor mortis means

A) a procedure done by the mortician.

B) the client has just died.

C) the natural stiffening of the body and limbs shortly after death.

D) the heart has stopped.

LO#5-Identify the physical changes and care requirements associated with approaching death.

7. When a client is dying, the personal care provider can help the family and client the most

by:

A) asking them questions about the client and how the illness started.

B) trying to cheer them up by talking to them.

C) maintaining a concerned and efficient approach to your work.

D) telling them about the details of the client's condition.

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

8. You are caring for a client with terminal illness. How often at a minimum should you continue to turn the client?

A) every 1 hour

B) every 2 hours(s)

C) every 3 hour(s)

D) every 4 hour(s)

LO#3-Assist in meeting the psychosocial and spiritual needs of the client with life-limiting illness.

9. With respect to hospice care and palliative care:

A) they were always considered as the same philosophies of care based on the type of care provided and the location of care delivery
B) palliative care was considered a more medical model
C) hospice care referred to a medical model
D) the goal of the palliative model was to keep clients comfortable and “de-medicalize” the dying process

LO#1-Describe hospice-palliative care.

10. According to the World Health Organization (2014), the goals of hospice-palliative care include the following:

A) intending to postpone death

B) using an individual approach to address the needs of clients and their families

C) applying hospice-palliative care principles late in the course of the illness

D) integrating the psychological and spiritual aspects of client care

LO#1-Describe hospice-palliative care.

11. In her book On Death and Dying, Elisabeth Kübler-Ross (1969) describes five stages

that people may experience when faced with the knowledge of their impending

death. These stages (in order) include :

A) (1) depression, (2) anger, (3) bargaining, (4) denial, and (5) acceptance

B) (1) denial, (2) acceptance, (3) bargaining, (4) depression, and (5) anger

C) (1) denial, (2) anger, (3) bargaining, (4) depression, and (5) acceptance

D) (1) denial, (2) anger, (3) battling, (4) depression, and (5) acceptance

LO#2-Discuss the stages of dying.

12. What generally occurs in the bargaining stage?

A) the client may believe that test results are mixed with someone else’s

B) the client may attempt to postpone death by asking God or the universe for a reprieve in exchange for some good act or behaviour

C) the signs and symptoms of a life-limiting illness become more acute and harder to ignore

D) anger and depression are replaced by contemplation and expectation of death

LO#2-Discuss the stages of dying.

13. A sign that shows death may be near includes:

A) blood circulation increases

B) Perspiration decreases

C) pulse may become stronger

D) skin colour may become mottled

LO#5-Identify the physical changes and care requirements associated with approaching death.

14. An advance directive:

A) an individual designated as power of attorney

B) is different than a living will

C) outline the family’s prewritten instructions

D) includes medical treatments only

LO#6-State the purpose of an advance directive.

15. A power of attorney is:

A) required for hospital admission

B) always a spouse

C) cannot be a health-care representative

D) specifies a client’s personal care wishes

LO#6-State the purpose of an advance directive.

16. The removal of organs from a donor is called:

A) harvesting

B) transplant

C) donation

D) receiving

LO#7-Describe the processes of organ and tissue donation.

17. Regarding organ donation:

A) it is required by law

B) harvesting of organs occurs while the brain is functioning

C) it is influenced by personal, religious, and cultural beliefs

D) organ donation will make having an open-casket funeral a problem

LO#7-Describe the processes of organ and tissue donation.

18. When the client has died, or expired:

A) it is too late for post-mortem care

B) the client is immediately transferred to the morgue

C) you may have to gently close the eyelids if they are open

D) postmortem care should be done after rigor mortis develops

LO#8-Describe postmortem care.

19. With respect to postmortem care:

A) if family members and significant others are not present when the client dies. In this case, either the doctor or the nurse will notify them

B) all jewelry is removed from the body

C) the body is transferred to the morgue immediately

D) personal care providers do not participate in postmortem care

LO#8-Describe postmortem care.

True/False Questions

1. Dying clients all have similar ideas about death and the hereafter.

LO#1-Describe hospice-palliative care.

2. Elizabeth Kubler-Ross is a world-famous expert on death and dying.

LO#2-Discuss the stages of dying.

3. The denial stage of dying refers to thoughts like "this can't be happening to me."

LO#2-Discuss the stages of dying.

4. Bargaining refers to the stage of dying when a patient attempts to strike a deal with God to postpone their death.

LO#2-Discuss the stages of dying.

5. Since the terminal client is dying, they do not require much care.

LO#1-Describe hospice-palliative care.

6. Always let the family be alone with the client; they don't want you there.

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

7. When you can't answer the family's questions, refer them to the nurse.

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

8. Try to provide some measure of comfort for the family, such as a cup of coffee, etc.

LO#4-Assist in meeting the special care needs of the family members and significant others of those with chronic, life-limiting illness.

9. Hospice works to cure the client.

LO#1-Describe hospice-palliative care.

10. Hospice care is only for clients with cancer.

LO#1-Describe hospice-palliative care.

11. The decision to donate organs is influenced by culture and religious beliefs.

LO#7-Describe the processes of organ and tissue donation.

12. Organ donation requires planning on the part of the client.

LO#7-Describe the processes of organ and tissue donation.

13. Loss of bowel and bladder control is unusual near death.

LO#5-Identify the physical changes and care requirements associated with approaching death.

14. A client’s pulse may be rapid or may become weak and irregular near death.

LO#5-Identify the physical changes and care requirements associated with approaching death.

15. Postmortem care should be completed prior to rigor mortis.

LO#8-Describe postmortem care.

16. Always check with the nurse before removing any lines, tubes, or drains from the body.

LO#8-Describe postmortem care.

17. The focus of hospice-palliative care must be promoting clients’ quality of life while they are living

LO#3-Assist in meeting the psychosocial and spiritual needs of the client with life-limiting illness.

18. The challenge for you as the personal care provider is knowing when the client needs to talk about her impending death and when she may just want to live and be happy in the moment.

LO#3-Assist in meeting the psychosocial and spiritual needs of the client with life-limiting illness.

19. Advance directives allow family member to decide a client’s wishes.

LO#6-State the purpose of an advance directive.

20: Some clients have not prepared an advance directive, therefore, a health-care representative may be designated to serve in place of the client if the client is unable to make her own decisions.

LO#6-State the purpose of an advance directive.