HAC End-of-Life & Palliative Care 4

Question 1

According to Elisabeth Kübler-Ross, which of the following is NOT one of the five stages of grief?

Accepted Answer

Guilt

Answer

Kübler-Ross's five stages are denial, anger, bargaining, depression, and acceptance — guilt is not one of them.

Question 2

A patient on hospice care has a religious item placed in her bed for comfort. The aide should:

Accepted Answer

Respect its importance and carefully replace it after care

Answer

Respecting religious and cultural objects honors the patient's dignity and spiritual needs, which are central to palliative care.

Question 3

Which action by the aide BEST supports a dying patient's sense of control?

Accepted Answer

Offering simple choices, such as what to wear or when to bathe

Answer

Offering small choices preserves autonomy and dignity, which are critical psychological needs at end of life.

Question 4

Terminal restlessness in a dying patient may be managed by the aide by:

Accepted Answer

Speaking calmly, dimming lights, and reducing noise in the environment

Answer

A calm, quiet environment with gentle reassurance can reduce agitation; clinical interventions are managed by the nurse.

Question 5

A patient's advance directive states she does not want artificial nutrition. The family insists the aide provide tube feeding. The aide should:

Accepted Answer

Explain that the patient's documented wishes must be respected and contact the nurse

Answer

Advance directives legally represent the patient's own wishes, which take precedence over family preferences; the nurse must be involved.

(HAC) Healthcare Aide Certification Practice Test