5- End Of Life

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  • 1/11 Questions

    When a resident is near end of life and bedbound, in many cases they are still able to hear even if they cannot communicate.

    • True
    • False
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5- End Of Life - Quiz
About This Quiz

This quiz titled 'End of Life' assesses knowledge on care for terminally ill residents, focusing on their physical and perceptual changes as life nears its end. It covers topics such as life expectancy, hearing capabilities, appetite, responsiveness, and breathing patterns in the final days.

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  • 2. 

    In the last few days of life for the terminally ill resident, they will typically become:

    • Less responsive

    • More responsive

    Correct Answer
    A. Less responsive
    Explanation
    As the terminally ill resident approaches the end of their life, it is common for them to become less responsive. This can be attributed to the deterioration of their physical and cognitive abilities. The body's systems start shutting down, leading to decreased alertness and responsiveness. The person may become drowsy, uncommunicative, and show reduced awareness of their surroundings. This decline in responsiveness is a natural part of the dying process.

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  • 3. 

    If the resident is in pain and not experiencing relief, you should notify the hospice nurse or physician.

    • True

    • False

    Correct Answer
    A. True
    Explanation
    If a resident is in pain and not experiencing relief, it is important to notify the hospice nurse or physician. This is because they are the healthcare professionals responsible for managing the resident's pain and providing appropriate treatment. By notifying them, they can assess the situation, adjust the pain management plan if necessary, and ensure that the resident receives the relief they need. It is crucial to address pain promptly and effectively in order to provide optimal comfort and care for the resident.

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  • 4. 

    When a resident is near end of life, generally speaking, their:

    • Appetite will increase

    • Appetite will decrease

    • Appetite will remain the same as before they became terminally ill

    Correct Answer
    A. Appetite will decrease
    Explanation
    When a resident is near the end of life, their appetite will generally decrease. This is because as the body becomes weaker and the person's health deteriorates, they may experience a loss of appetite and a decreased desire to eat. This can be due to various factors such as physical discomfort, medication side effects, changes in taste and smell, or emotional distress. It is important for caregivers to understand and respect the resident's decreased appetite and provide appropriate support and comfort during this time.

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  • 5. 

    If a resident goes two days without a bowel movement, you should:

    • Do nothing

    • Call the hospice nurse

    • None of the above

    Correct Answer
    A. Call the hospice nurse
    Explanation
    If a resident goes two days without a bowel movement, it is important to call the hospice nurse. This is because a lack of bowel movement for two days can indicate constipation or a potential issue with the resident's digestive system. The hospice nurse will be able to assess the situation and provide appropriate medical intervention or advice to ensure the resident's comfort and well-being.

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  • 6. 

    Which of the following may be signs that the resident is in pain:

    • Agitation

    • Decreased activity

    • Sitting or lying in a different position than normal

    • Breathing quickly

    • Sweating

    • Moaning

    • All of the above

    Correct Answer
    A. All of the above
    Explanation
    All of the above signs may indicate that the resident is in pain. Agitation, decreased activity, sitting or lying in a different position than normal, breathing quickly, sweating, and moaning are all potential signs of pain in a resident. These behaviors can be indicative of discomfort or distress, and it is important for caregivers to recognize and address these signs to provide appropriate pain management and support to the resident.

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  • 7. 

    Typically, in the last day or so of life, the resident will exhibit Cheyne-Stokes breathing which is:

    • Continuous shallow breathing

    • Several rapid breaths followed by periods of no breaths

    Correct Answer
    A. Several rapid breaths followed by periods of no breaths
    Explanation
    Cheyne-Stokes breathing is a pattern of breathing characterized by several rapid breaths followed by periods of no breaths. This pattern is commonly observed in the last day or so of life in individuals who are nearing death. It is believed to be caused by changes in the brain's respiratory centers and can be a result of decreased blood flow or oxygen levels. This irregular breathing pattern is often seen as a sign that the body is shutting down and can be distressing for both the individual and their loved ones.

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  • 8. 

    If a resident is considered "terminally ill," generally speaking it means they have ____ months or less to live.

    • 3

    • 6

    • 12

    Correct Answer
    A. 6
    Explanation
    If a resident is considered "terminally ill," generally speaking it means they have 6 months or less to live. This is a common timeframe used in medical contexts to indicate that the individual's condition is not expected to improve and that their life expectancy is limited.

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  • 9. 

    Normally, in the last day or two of life, the resident's breathing may sound wet and gurgling. This breathing:

    • Causes the resident discomfort and the hospice nurse should be called.

    • Typically does not cause discomfort, however, there are medications that can help this condition

    Correct Answer
    A. Typically does not cause discomfort, however, there are medications that can help this condition
    Explanation
    The correct answer is that the wet and gurgling breathing typically does not cause discomfort, however, there are medications that can help this condition. This suggests that although the sound may be unpleasant, it does not necessarily mean that the resident is in pain or discomfort. Additionally, the answer implies that there are medications available to alleviate the symptoms and improve the resident's breathing.

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  • 10. 

    When a resident is near end of life, good skin care is imperative. List at least three interventions for good skin care:

  • 11. 

    List at least three interventions that may make the physical environment more pleasant for the resident:

Quiz Review Timeline (Updated): Mar 21, 2023 +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • May 19, 2011
    Quiz Created by
    ParadiseValleyCa
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