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1. You are performing postmortem care on Mr. Low. What should be done with his dentures?
Consider the importance of maintaining the deceased’s appearance for viewing, and think about how dentures can contribute to a more natural look.
2. Mr. Bledo, a dying resident, does not believe in any higher spiritual being. To best care for this resident, the CNA should:
Focus on providing compassionate care without introducing spiritual discussions or practices, honoring Mr. Bledo’s beliefs and ensuring his comfort and dignity.
3. You are caring for a resident who has been told she is dying. She has accepted this, but her daughter says it is not true and that her mother is just confused. How should you help with this?
Focus on supporting both the resident and her daughter by encouraging open communication. Validate the resident’s feelings while gently guiding the daughter to express her concerns. Consider involving a nurse to facilitate a conversation that respects the resident’s autonomy and addresses the family’s emotional dynamics.
4. You are caring for a dying elderly patient whose family has many deeply held religious convictions and traditions. One of these traditions is to leave a candle burning in the room so that when the person dies, the soul has a light to follow to Heaven. How might you accommodate this tradition?
Consider finding a safe way to honor their tradition while discussing options that comply with safety protocols, such as using a non-flame candle. Collaborating with healthcare team members can help facilitate this accommodation with respect and compassion.
5. Your patient has terminal cancer and wishes to make an advanced directive quickly. The family requests you to sign as a witness. You should:
Consider the legal and ethical implications of witnessing an advanced directive, particularly regarding potential conflicts of interest.
6. Mr. Graves has terminal lung cancer; therapeutic approaches by the CNA should include:
Consider the importance of emotional support and open communication in end-of-life care, focusing on the patient’s feelings and allowing them to express their thoughts.
7. You are caring for a resident as she is dying. She asks you to pray for her. You are of a different faith and uncomfortable with the request. How should you handle this?
Focus on empathy and respect for the resident’s beliefs. Consider how you can support her emotionally without compromising your own values. Options might include being present, offering comfort in your own way, or involving someone who shares her faith. The key is to honor her request while maintaining your integrity.
8. You are taking care of Martin F at the end of life. He rarely has visitors and he has said, “I am of no use to anyone.” Martin is expressing a ______________ need with this comment.
Consider the emotional impact of isolation and the importance of self-worth. What aspect of human experience reflects the need for validation and purpose, especially in vulnerable moments?
9. Rigor mortis occurs about ___ hours after death.
Think about the timeframe when the body starts to stiffen noticeably, typically occurring shortly after the cessation of heart activity.
10. The Grant family has just lost a loved one. A family member informs you that their culture does not permit a dead person to be left alone before burial. Hospital policy states that all bodies are to be stored in the hospital morgue. How would you best handle this situation?
Consider the family’s cultural practices and the importance of honoring their wishes, while also keeping hospital policies in mind. Look for a way to facilitate a solution that respects both aspects. Collaboration and communication with hospital staff may help in finding a compromise.
11. People at the end of life have many special needs; one of their physical needs is the relief of:
Consider the physical sensations that can arise as the body approaches the end of life, particularly ones that may cause discomfort and impact overall comfort and well-being.
12. Another term for healthcare proxy is:
Think of a legal document that grants someone the authority to make medical decisions for another person.
13. You have cleaned your resident up after she has died but as you wrap her in the shroud she leaks stool. What do you do?
Focus on cleanliness and dignity during postmortem care. Consider preventive measures to manage any leakage, ensuring respect in the final preparation.
14. CNAs assist clients who are dying in order to enable a peaceful death and to maintain:
Consider how providing emotional and psychological support can enhance the experience of clients approaching the end of life. Focus on the aspects of self-worth and dignity in your response.
15. Caring for a patient on hospice involves:
Focus on providing comfort and support, prioritizing the patient’s dignity and family involvement throughout the end-of-life journey.
16. What are the six links in the Chain of Infection?
Think about the sequence of events required for an infection to occur, starting from the germ and ending with a person who can get sick. Each link in the chain serves a specific role in the transmission process.
17. Physical changes as death approaches include:
Consider the physical signs related to circulation and temperature changes in the body as it nears the end of life.
18. You are taking care of Martin F at the end of life; he is very worried about his funeral expenses. Martin will most likely benefit from the help of a:
Consider a professional who specializes in emotional support and resource navigation for individuals facing end-of-life concerns.
19. Mrs. Molski says to you, “I know I am dying. I feel so alone.” As you sit and listen to her, you realize she is in which stage of grief?
Consider the emotional state of the individual and their recognition of their situation. Look for signs of acknowledgment and reflection on their mortality, rather than denial or anger.
20. Mrs. Herer does not want any life-sustaining treatments; which intervention is appropriate?
Consider the importance of prioritizing comfort and pain management while upholding the patient’s expressed wishes regarding treatment.
21. Which is considered a normal or healthy type of grief?
Think about the type of grief that occurs before a loss, allowing individuals to emotionally prepare for what is about to happen. This type is seen as a healthy way to cope with impending loss.
22. Which of the factors impact on a person’s grief?
Consider how background beliefs and societal norms shape emotional responses and mourning practices during bereavement.
23. An advanced directive goes into effect:
Think about the circumstances under which a person’s ability to communicate their healthcare preferences is compromised, especially related to serious health issues.
24. You are caring for Judy F. She is at the end of life. A lot of visitors are seeing her, and you notice that she is giving things like her jewelry to her visitors. What should you do?
Consider the emotional significance of her actions and the importance of respecting her autonomy during this stage. Recognize that this behavior may be a meaningful part of her coping and acceptance process.
25. Bed rest can be very debilitating at any age. Which of the following does not result from bed rest?
Consider how physical inactivity typically affects the body and mind. Remember that while some conditions arise from prolonged inactivity, not all commonly perceived outcomes are accurate. Think about cognitive engagement and its role in maintaining mental sharpness during times of rest.