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HARTMAN'S NURSING ASSISTANT CARE - CHAPTER 23 TEST QUESTIONS AND ANSWERS

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HARTMAN'S NURSING ASSISTANT CARE - CHAPTER 23 TEST QUESTIONS AND ANSWERS

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HARTMAN'S NURSING ASSISTANT
CARE - CHAPTER 23 TEST
QUESTIONS AND ANSWERS
Hospice care -Answer-Special care a dying person needs, given in hospital or skilled
nursing facility, or in home. 24/7. Will have a doctor's order.

hospice team members -Answer-doctors, nurses, social workers, counsellors,
nursing assistants, home health aides, therapist, clergy, dietitians, volunteers

goal of hospice / palliative care -Answer-comfort and dignity of the resident

Palliative care -Answer-care given to people who are dying that emphasizes relieving
pain, controlling symptoms, preventing side effects and complications

mindset -Answer-nursing assistants will need to adjust their ________________
when caring for residents in hospice

independent -Answer-residents who are dying need to feel __________________ for
as long as possible

guidelines for hospice care -Answer-▪︎be a good listener
▪︎respect privacy and independence
▪︎be sensitive to individual needs
▪︎be aware of your own feelings
▪︎recognize the stress
▪︎take care of yourself
▪︎take a break when you need to

common signs of approaching death -Answer-▪︎disorientation
▪︎confusion
▪︎reduced responsiveness
▪︎blurred / failing vision
▪︎unfocused eyes
▪︎impaired speech
▪︎diminished sense of touch / taste
▪︎loss of movement / muscle tone / feeling
▪︎rising or below normal body temp
▪︎decreasing blood pressure
▪︎weak pulse that is slow or rapid
▪︎Cheyne-Stokes respirations
▪︎rattling / gurgling
▪︎cold / pale skin
▪︎mottled / spotted / blotched skin
▪︎perspiration
▪︎incontinence

, Cheyne-stokes -Answer-Alternating periods of slow, irregular respirations and rapid,
shallow respirations

heartbeat, pulse, respiration, blood pressure -Answer-Body will not have
________________, _________________, ________________, or
_________________ when death occurs.

Rigor mortis -Answer-When the muscles in the body become stiff and rigid after
death. Between 2-6 hours, temporary.

Post-mortem care -Answer-Care of the body after death (after declared dead by
nurse or doctor)

guidelines for post-mortem care -Answer-▪︎Bathe the body, put pads under head /
perineal area, follow standard precautions.
▪︎Do not remove tubes.
▪︎Put dentures back in if instructed to.
▪︎Close the eyes and mouth.
▪︎Position the body on back with legs straight and arms folded across abdomen, small
pillow under head.
▪︎Follow facility policy about personal items, document what was given to whom.
▪︎Strip the bed after body is removed.
▪︎Open windows to air the room.
▪︎Document.
▪︎Talk to nurse if you need help performing post-mortem care.

organ donation -Answer-removal of organs and tissues for the purpose of
transplanting into someone who needs them

Cremation -Answer-Burning of the body until it is reduced to ashes

wake -Answer-A watching over the body until burial. May include singing, eating,
storytelling. Mood is not necessarily sad or somber.

viewing -Answer-time during which a deceased person's body may be visited by
mourners.

natural burial -Answer-body is wrapped in a shroud or put in biodegradable casket,
not embalmed. Also called a green burial.

eulogy -Answer-speech made in honor of the deceased

Participate in their own care as much as possible -Answer-Hospice Care encourages
residents to ____________________________________________.

Stiff and rigid -Answer-After death, the muscles in the body become

Under the perineal area -Answer-After death the nursing assistant should place pads
under the body. These pads are most often needed in what area?

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