CHPNA End-of-Life Care

Question 1

Which of the following is a physical sign that death may be approaching within hours to days?

Accepted Answer

Mottling of the skin, cooling of extremities, and changes in breathing

Answer

Increased appetite and energy

Answer

Elevated blood pressure

Answer

Increased urine output

Question 2

What is 'mottling' in the context of end-of-life care?

Accepted Answer

Blotchy, purplish discoloration of the skin due to poor circulation

Answer

A rash caused by medication

Answer

Yellowing of the skin

Answer

Swelling of the extremities

Question 3

After a patient's death, what is the nursing assistant's first responsibility?

Accepted Answer

Notify the supervising nurse and follow the agency's post-mortem care procedures

Answer

Contact the funeral home immediately

Answer

Remove all equipment from the room

Answer

Inform the insurance company

Question 4

Which of the following is appropriate post-mortem care by the nursing assistant?

Accepted Answer

Bathing the body, positioning it with dignity, and allowing family time

Answer

Performing CPR

Answer

Removing the body immediately

Answer

Administering medications

Question 5

What is the Kübler-Ross model in relation to end-of-life care?

Accepted Answer

Five stages of grief: denial, anger, bargaining, depression, and acceptance

Answer

A pain assessment tool

Answer

A medication protocol for dying patients

Answer

A physical assessment scale

Question 6

When a family member is distraught at the bedside of a dying patient, the nursing assistant should:

Accepted Answer

Offer presence, a calm demeanor, and empathetic support; notify the nurse

Answer

Ask them to leave the room

Answer

Tell them to stop crying

Answer

Ignore the behavior