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

Mottling (purplish blotchy skin discoloration), cooling of extremities, changes in breathing patterns, and decreased urine output are signs that death is approaching.

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

Mottling is a blotchy, irregular purplish discoloration of the skin caused by slowing circulation as the body shuts down, typically starting in the knees and feet.

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

The nursing assistant should notify the supervising nurse immediately after a patient's death and follow the agency's protocols for post-mortem care.

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

Post-mortem care includes bathing and positioning the body with dignity and respect, and allowing family members time to say goodbye before the body is removed.

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

Dr. Elisabeth Kübler-Ross described five stages of grief—denial, anger, bargaining, depression, and acceptance—that many dying patients and their families may experience.

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA - Certified Hospice and Palliative Nursing Assistant Practice Test

CHPNA End-of-Life Care