NURS 3210 TEST 2 REVIEW QUESTIONS AND
ANSWERS
Palliative Care is - Answers - care to relieve pain and suffering. It is not to relieve the
patient of illnesses. Medicine for pain relieves the pain and often hastens death.
Death is the ___________ ending of life - Answers - irreversible
TRUE OR FALSE: Dying is the approach towards the end, start letting people -
Answers - True
The average stay in hospice is ________ - Answers - 26 days, because early referrals
do not happen
Bereavement care - Answers - Caring for family after death
TRUE OR FALSE: 1/ 10 people will die suddenly. - Answers - TRUE
___________ of people will die from a prolonged illness - Answers - 90%
terminal anguish - Answers - inability to cure the pain of a dying person
Forcing fluids can __________ suffering of the dying person - Answers - increase
TRUE OF FALSE: A dying person often has increased appetite and thirst for fluids. -
Answers - FALSE, loss of appetite or inability to swallow may occur
Keep the mouth clean and moist by moisturizing the lips and mouth with what 4 things?
- Answers - ice chips, water dipped q-tip applicator, and lip balm
The nurse of a dying person can do what to make the dying person have a therapeutic
death? - Answers - encourage music, meditation, prayer, skin care, pain assessment,
message, and loving presence.
Constipation near death can occur from? - Answers - pain medicine, decreased
mobility, slowed bowels, and decreased fluid
Urine may be? - Answers - dark and sparse
Incontinence is? - Answers - involuntary discharge of urine, occurs in a dying person
often
How can nurses help with constipation and decreased urine output? - Answers -
encourage fluids or give a suppository or catheter
,What is death rattle? - Answers - An ominous sound that indicates the lungs are filling
up with fluid, may be gurgling
Periods of no breathing of up to ______ seconds can occur in the dying person -
Answers - 60
Someone with a death rattle may be _________ to let the excess saliva drain -
Answers - laid on their side
How can a nurse make breathing easier in a dying patient - Answers - Raise the head
of the bed, turn the body, suction, wipe mouth
Changes in skin color while dying include? - Answers - Fluctuate between hot and cold
may appear to have purple/blue blotches on skin
yellow or waxy skin
How can we help with a patient being cold? - Answers - Do not give the patient an
electric blanket or heating pad; give more blankets.
How can we help a patient who is hot? - Answers - use a fan, dampened cloth, and
remove blankets, may help breathing as well.
prn - Answers - as needed
The four things that matter most to family of a dying person are these quotes: -
Answers - forgive me, I forgive you, thank you, and I love you
TRUE OR FALSE: The journey of dying can be predicted. - Answers - FALSE
Withdrawal is the __________ - Answers - Most common sign of death
Possible physical signs during dying - Answers - weakness, fatigue, confusion,
agitation, loss of appetite,change in bowel and bladder function, breathing, skin
temperature, and color
Dying people often display the phenomenon of __________ - Answers - seeing those
who have passed before them
Withdrawal _______ the dying person for death - Answers - perpares
A dying person sleeps _______ and talks ________ - Answers - more, less
The dying person make be _______ just before dying, which serves as a tease to the
inevitable. - Answers - alert
The last sense to go is? - Answers - hearing
, Confusion, bad dreams, hallucination, or agitation may be caused by? - Answers -
medication, low oxygen, metabolic changes, and dehydration
palliative euthenation - Answers - kills them
palliative sedation - Answers - deliberately inducing deep sleep, relief of intractable
symptoms and profound spiritual/physical anguish
How will people have pain when dying? - Answers - Patients may be in pain from the
disease
medicines may not be working well
side effects of medicines
family may fear addiction
What are some problems with pain management in dying persons? - Answers - The
person may feel that pain is deserved
may be scared of pain medicine
some think that pain medicine will kill them
the more pain they feel the closer they are to death
caregivers don't believe patients report of pain
Which medicine route is the last resort in someone that is in pain? - Answers -
Intramuscular
People taking _______ medications ________ need a laxative - Answers - Pain,
almost always
Pain may actually ____ life because it is energy draining. - Answers - shorten
Filial Piety is? - Answers - planning death, being buried whole, loyalty and devotion,
organ donation and autopsy may be refused usually entrusted in the oldest individual in
individualistic cultures
Individualistic culture - Answers - usually want information directly from HCP, and will
share news based on their own decision
Collective culture - Answers - usually expects all of the family members to hear the
news and help with decision making
To ensure someone has died the nurse should? - Answers - Listen to heart(apical
pulse for a minute), carotid, respiration, check pupils for light reflex, and check arm ID
band.
Record the time Pronounced and check __________. - Answers - arm ID band
ANSWERS
Palliative Care is - Answers - care to relieve pain and suffering. It is not to relieve the
patient of illnesses. Medicine for pain relieves the pain and often hastens death.
Death is the ___________ ending of life - Answers - irreversible
TRUE OR FALSE: Dying is the approach towards the end, start letting people -
Answers - True
The average stay in hospice is ________ - Answers - 26 days, because early referrals
do not happen
Bereavement care - Answers - Caring for family after death
TRUE OR FALSE: 1/ 10 people will die suddenly. - Answers - TRUE
___________ of people will die from a prolonged illness - Answers - 90%
terminal anguish - Answers - inability to cure the pain of a dying person
Forcing fluids can __________ suffering of the dying person - Answers - increase
TRUE OF FALSE: A dying person often has increased appetite and thirst for fluids. -
Answers - FALSE, loss of appetite or inability to swallow may occur
Keep the mouth clean and moist by moisturizing the lips and mouth with what 4 things?
- Answers - ice chips, water dipped q-tip applicator, and lip balm
The nurse of a dying person can do what to make the dying person have a therapeutic
death? - Answers - encourage music, meditation, prayer, skin care, pain assessment,
message, and loving presence.
Constipation near death can occur from? - Answers - pain medicine, decreased
mobility, slowed bowels, and decreased fluid
Urine may be? - Answers - dark and sparse
Incontinence is? - Answers - involuntary discharge of urine, occurs in a dying person
often
How can nurses help with constipation and decreased urine output? - Answers -
encourage fluids or give a suppository or catheter
,What is death rattle? - Answers - An ominous sound that indicates the lungs are filling
up with fluid, may be gurgling
Periods of no breathing of up to ______ seconds can occur in the dying person -
Answers - 60
Someone with a death rattle may be _________ to let the excess saliva drain -
Answers - laid on their side
How can a nurse make breathing easier in a dying patient - Answers - Raise the head
of the bed, turn the body, suction, wipe mouth
Changes in skin color while dying include? - Answers - Fluctuate between hot and cold
may appear to have purple/blue blotches on skin
yellow or waxy skin
How can we help with a patient being cold? - Answers - Do not give the patient an
electric blanket or heating pad; give more blankets.
How can we help a patient who is hot? - Answers - use a fan, dampened cloth, and
remove blankets, may help breathing as well.
prn - Answers - as needed
The four things that matter most to family of a dying person are these quotes: -
Answers - forgive me, I forgive you, thank you, and I love you
TRUE OR FALSE: The journey of dying can be predicted. - Answers - FALSE
Withdrawal is the __________ - Answers - Most common sign of death
Possible physical signs during dying - Answers - weakness, fatigue, confusion,
agitation, loss of appetite,change in bowel and bladder function, breathing, skin
temperature, and color
Dying people often display the phenomenon of __________ - Answers - seeing those
who have passed before them
Withdrawal _______ the dying person for death - Answers - perpares
A dying person sleeps _______ and talks ________ - Answers - more, less
The dying person make be _______ just before dying, which serves as a tease to the
inevitable. - Answers - alert
The last sense to go is? - Answers - hearing
, Confusion, bad dreams, hallucination, or agitation may be caused by? - Answers -
medication, low oxygen, metabolic changes, and dehydration
palliative euthenation - Answers - kills them
palliative sedation - Answers - deliberately inducing deep sleep, relief of intractable
symptoms and profound spiritual/physical anguish
How will people have pain when dying? - Answers - Patients may be in pain from the
disease
medicines may not be working well
side effects of medicines
family may fear addiction
What are some problems with pain management in dying persons? - Answers - The
person may feel that pain is deserved
may be scared of pain medicine
some think that pain medicine will kill them
the more pain they feel the closer they are to death
caregivers don't believe patients report of pain
Which medicine route is the last resort in someone that is in pain? - Answers -
Intramuscular
People taking _______ medications ________ need a laxative - Answers - Pain,
almost always
Pain may actually ____ life because it is energy draining. - Answers - shorten
Filial Piety is? - Answers - planning death, being buried whole, loyalty and devotion,
organ donation and autopsy may be refused usually entrusted in the oldest individual in
individualistic cultures
Individualistic culture - Answers - usually want information directly from HCP, and will
share news based on their own decision
Collective culture - Answers - usually expects all of the family members to hear the
news and help with decision making
To ensure someone has died the nurse should? - Answers - Listen to heart(apical
pulse for a minute), carotid, respiration, check pupils for light reflex, and check arm ID
band.
Record the time Pronounced and check __________. - Answers - arm ID band
