UNAR End-of-Life and Palliative Care

Question 1

A resident who is dying says they are afraid. What is the best response from the nursing assistant?

Accepted Answer

Stay with the resident, listen without judging, and report the concerns to the nurse

Answer

Active listening and presence give emotional support at the end of life. The nurse should be told about the resident's concerns so the care team can address them.

Question 2

Which of the following is a common physical sign that death may be near?

Accepted Answer

Cool, mottled skin on the hands and feet

Answer

As circulation slows, the extremities often become cool and mottled. Other signs include slowed breathing, decreased intake and reduced responsiveness. Report changes to the nurse.

Question 3

What is the goal of palliative or hospice care?

Accepted Answer

To provide comfort and quality of life, and to relieve pain and symptoms

Answer

Palliative and hospice care focus on comfort, dignity and quality of life rather than cure. They also support the family.

Question 4

Hearing is thought to be one of the last senses to be lost. How should this affect your care of a resident who is unresponsive and near death?

Accepted Answer

Speak softly and respectfully to the resident, explaining what you are doing

Answer

Residents may still hear even when they cannot respond. Speaking gently, explaining care and avoiding inappropriate conversation preserves dignity.

Question 5

After a resident dies, the nursing assistant is asked to help with postmortem care. What should be done first?

Accepted Answer

Be sure the nurse has confirmed the death and any required facility steps have been completed

Answer

Postmortem care begins only after the nurse (or other authorized person) has pronounced the death and permission has been given. Follow facility policy, respect cultural and religious wishes, and keep the body dignified and the room private.

(UNAR) Utah Nursing Assistant Registry Practice Test

(UNAR) Utah Nursing Assistant Registry Practice Test

UNAR End-of-Life and Palliative Care