CHPNA End-of-Life Care 2

Question 1

Decreased urine output and dark-colored urine near the end of life usually indicate:

Accepted Answer

Normal physiological changes as the body shuts down

Answer

Kidney infection

Answer

Need for increased IV fluids

Answer

Medication side effects requiring immediate dose change

Question 2

What does it mean when a hospice patient is in the 'actively dying' phase?

Accepted Answer

The patient is in the final hours to days of life with significant physiological changes

Answer

The patient is agitated and combative

Answer

The patient's condition is improving

Answer

The patient requires surgical intervention

Question 3

Hearing is believed to be one of the last senses to fade. How does this affect nursing assistant care?

Accepted Answer

The nursing assistant should speak softly, identify themselves, and offer comforting words

Answer

The nursing assistant should avoid speaking near the patient

Answer

The nursing assistant should increase the TV volume

Answer

It has no effect on care delivery

Question 4

Which of the following is an appropriate way to support the family during the active dying phase?

Accepted Answer

Educate the family about what to expect and encourage them to stay if they wish

Answer

Restrict family visitation to reduce disruption

Answer

Discourage family from speaking to the patient

Answer

Insist family follow strict hospital routines

Question 5

What is 'palliative sedation'?

Accepted Answer

The use of sedative medications to reduce intractable suffering in terminally ill patients near death

Answer

Sedation to hasten death

Answer

Routine sedation for all hospice patients

Answer

Sedation used only during procedures

Question 6

Cultural awareness in end-of-life care is important because:

Accepted Answer

Cultural beliefs affect how patients and families experience grief, rituals, and death

Answer

All patients respond to death the same way

Answer

Culture only matters for language barriers

Answer

Cultural differences are irrelevant in medical care