HARTMAN'S NURSING ASSISTANT
CARE - CHAPTER 23 TEST
QUESTIONS AND ANSWERS
Terminal illness -Answer-A disease or condition that will eventually cause death
Grief -Answer-Deep distress or sorrow over a loss - an adaptive (changing) process,
usually involves healing
five stages of grief -Answer-denial, anger, bargaining, depression, acceptance
how nursing assistants can help with grief -Answer-listening and being ready to offer
help
reactions to death -Answer-shock, denial, anger, guilt, regret, relief, sadness,
loneliness
factors affecting feelings and attitudes about death -Answer-experience with death,
personality type, religious beliefs, cultural background
focus of care for dying resident -Answer-Meeting physical needs, as well as
providing comfort and emotional support. Promote independence.
guidelines for residents who is dying - diminished senses -Answer-▪︎Reduce glare,
keep lighting low.
▪︎Speak in normal tone.
▪︎Tell resident about care being provided.
▪︎Ask questions. ???
▪︎Encourage family to speak, avoid subjects that are disturbing.
▪︎Observe body language.
guidelines for residents who is dying - care of mouth and nose -Answer-▪︎Give mouth
care often.
▪︎Apply lip balm to dry lips and nose.
guidelines for Resident who is dying - skin care -Answer-▪︎Give baths and
incontinence care.
▪︎Bathe perspiring residents often.
▪︎Keep skin clean and dry.
▪︎Change sheets and clothes, keep wrinkle-free.
▪︎Give regular skin care and repositioning.
guidelines for resident who is dying - pain control and comfort -Answer-▪︎Observe and
Report signs of pain.
▪︎Observe body language (residents may not be able to communicate that they are in
pain).
, ▪︎Frequent changes of position, back massage, skin care, mouth care, proper body
alignment.
▪︎If fever / chills, use extra blankets.
guidelines for resident who is dying - environment -Answer-▪︎Display favorite objects
and photographs where easily seen.
▪︎Play music if requested.
▪︎Ensure room is comfortable, appropriately lit, well ventilated.
▪︎Call light within reach.
guidelines for resident who is dying - emotional / spiritual support -Answer-▪︎Listening
may be most important - pay attention to conversations.
▪︎Report comments about fear to nurse.
▪︎Touch can be important - hold resident's hand as you sit quietly.
▪︎Do not avoid dying person or family.
▪︎Do not deny death.
▪︎Give accurate information in a reassuring way.
▪︎Tell nurse if clergy is requested. Give privacy for visits.
▪︎Do not discuss personal religious or spiritual beliefs.
Hearing -Answer-The last sense to usually leave the body is
patient controlled analgesia (PCA) device -Answer-method of pain control that allows
patients to administer pain medication to themselves
Extraordinary Measures -Answer-used to prolong life when there is no reasonable
expectation of recovery
legal rights when dying -Answer-▪︎Right to refuse treatment.
▪︎Right to have visitors.
▪︎Right to have privacy.
dying person's Bill of Rights -Answer-I have the right to
▪︎be treated as a living human until I die.
▪︎maintain a sense of hopefulness, however changing its focus may be.
▪︎be cared for by those who can maintain a sense of hopefulness, however changing
this may be.
▪︎express my feelings and emotions about my approaching death in my own way.
▪︎participate in decisions concerning my care.
▪︎expect continuing medical and nursing attention even though "cure" goals must be
changed to "comfort" goals.
▪︎not die alone.
▪︎be free of pain.
▪︎have my questions answered honestly.
▪︎retain my individuality and not be judged for my decisions, which may be contrary to
the belief of others.
▪︎expect that the sanctity of the human body will be respected after death.
▪︎be cared for by caring, sensitive, knowledgeable people who will attempt to
understand my needs and will be able to gain some satisfaction in helping me face
my death.
CARE - CHAPTER 23 TEST
QUESTIONS AND ANSWERS
Terminal illness -Answer-A disease or condition that will eventually cause death
Grief -Answer-Deep distress or sorrow over a loss - an adaptive (changing) process,
usually involves healing
five stages of grief -Answer-denial, anger, bargaining, depression, acceptance
how nursing assistants can help with grief -Answer-listening and being ready to offer
help
reactions to death -Answer-shock, denial, anger, guilt, regret, relief, sadness,
loneliness
factors affecting feelings and attitudes about death -Answer-experience with death,
personality type, religious beliefs, cultural background
focus of care for dying resident -Answer-Meeting physical needs, as well as
providing comfort and emotional support. Promote independence.
guidelines for residents who is dying - diminished senses -Answer-▪︎Reduce glare,
keep lighting low.
▪︎Speak in normal tone.
▪︎Tell resident about care being provided.
▪︎Ask questions. ???
▪︎Encourage family to speak, avoid subjects that are disturbing.
▪︎Observe body language.
guidelines for residents who is dying - care of mouth and nose -Answer-▪︎Give mouth
care often.
▪︎Apply lip balm to dry lips and nose.
guidelines for Resident who is dying - skin care -Answer-▪︎Give baths and
incontinence care.
▪︎Bathe perspiring residents often.
▪︎Keep skin clean and dry.
▪︎Change sheets and clothes, keep wrinkle-free.
▪︎Give regular skin care and repositioning.
guidelines for resident who is dying - pain control and comfort -Answer-▪︎Observe and
Report signs of pain.
▪︎Observe body language (residents may not be able to communicate that they are in
pain).
, ▪︎Frequent changes of position, back massage, skin care, mouth care, proper body
alignment.
▪︎If fever / chills, use extra blankets.
guidelines for resident who is dying - environment -Answer-▪︎Display favorite objects
and photographs where easily seen.
▪︎Play music if requested.
▪︎Ensure room is comfortable, appropriately lit, well ventilated.
▪︎Call light within reach.
guidelines for resident who is dying - emotional / spiritual support -Answer-▪︎Listening
may be most important - pay attention to conversations.
▪︎Report comments about fear to nurse.
▪︎Touch can be important - hold resident's hand as you sit quietly.
▪︎Do not avoid dying person or family.
▪︎Do not deny death.
▪︎Give accurate information in a reassuring way.
▪︎Tell nurse if clergy is requested. Give privacy for visits.
▪︎Do not discuss personal religious or spiritual beliefs.
Hearing -Answer-The last sense to usually leave the body is
patient controlled analgesia (PCA) device -Answer-method of pain control that allows
patients to administer pain medication to themselves
Extraordinary Measures -Answer-used to prolong life when there is no reasonable
expectation of recovery
legal rights when dying -Answer-▪︎Right to refuse treatment.
▪︎Right to have visitors.
▪︎Right to have privacy.
dying person's Bill of Rights -Answer-I have the right to
▪︎be treated as a living human until I die.
▪︎maintain a sense of hopefulness, however changing its focus may be.
▪︎be cared for by those who can maintain a sense of hopefulness, however changing
this may be.
▪︎express my feelings and emotions about my approaching death in my own way.
▪︎participate in decisions concerning my care.
▪︎expect continuing medical and nursing attention even though "cure" goals must be
changed to "comfort" goals.
▪︎not die alone.
▪︎be free of pain.
▪︎have my questions answered honestly.
▪︎retain my individuality and not be judged for my decisions, which may be contrary to
the belief of others.
▪︎expect that the sanctity of the human body will be respected after death.
▪︎be cared for by caring, sensitive, knowledgeable people who will attempt to
understand my needs and will be able to gain some satisfaction in helping me face
my death.
