Module 16- Death and Dying

A patient/resident has terminal breast cancer and says she wants to live three more months to see her first grandchild.
According to Kubler-Ross, in what stage of the grief process is this patient/resident?

Denial
Bargaining
Depression
Acceptance

A patient/resident is dying of a lung disease. He has been recently yelling at the staff. What stage of the grief process may this be?

Anger
Acceptance
Depression
Denial

The dying patient/resident has a right to:

Read their facility record at any time they choose
Refuse life-prolonging measures
Refuse to pay for any services
Request the Nurse Assistant to give him medications

Mr. Huang is terminally ill and has lost consciousness. The Nurse Assistant should:

Tell his family that death is only a few hours away
Turn and reposition him less frequently
Keep the room very bright and noisy
Remember that the patient/resident may still be able to hear

One of the signs of biological death would include:

Bradycardia (slow heart beat)
Hypertension (high blood pressure)
Lack of respirations (patient/resident is not breathing)
Agitation (patient/resident is active and jumpy)

Mrs. O’Leary always keeps her rosary and medals with her at all times. These objects should be:

Ignored since it is better to avoid discussion about religion
Placed on bedside table where she can’t get to it
Removed as soon as she goes to sleep so they are not lost
Left with Mrs. O’Leary and handled as valuable items

One of the goals of hospice care is to:

Help the patient/resident in making the dying process less painful physically and psychologically
Prolong life above all else
Provide an elimination of all disease symptoms and pain
Provide an opportunity for death by giving too many drugs

Keeping the terminally ill patients/residents comfortable includes:

Keeping the bed in a flat position
Providing skin care and linen changes
Discouraging any visitors
Only turning the patient/resident every 6 hours

It is important for the Nurse Assistant to monitor the condition of the dying patient/resident, who has written an Advanced
Directive not to resuscitate him, so that they can:

Provide physical and emotional support
Provide large serving of food frequently
Notify the physician of the exact time of death
Give medication

Usually the first task after the patient/resident has died and before the family comes to visit is to:

Wrap the body in a shroud for transfer to a mortuary
Notify the mortuary for immediate transfer of the body
Just leave the patient/resident as is
Prepare the body for viewing by family members

Postmortem care includes:

Taping the eyes shut
Bathing as necessary
Removing dentures
Removing prostheses

After a patient’s/resident’s death, the Nurse Assistant should support the family by:

Trying to cheer them
Encouraging the family to talk with the roommate
Listening when the family wants to talk
Assuring the family that the patient/resident is better off

When preparing a body for postmortem transfer, the Nurse Assistant should first:

Cover the patient’s/resident’s body and head with a clean sheet
Straighten the body in supine position
Maintain the patient’s/resident’s body positions and elevate the head
Provide bright lighting when the family members arrive

As part of the care of a patient/resident after death, the Nurse Assistant should:

Dress the patient/resident in regular clothes
Remove all patient’s/resident’s identification bands
Remove all tubes and drains
Position the patient’s/resident’s body in normal alignment

When caring for a dying patient/resident, the Nurse Assistant should expect:

The patient/resident to be alert
Vital signs to be normal
Breathing to be irregular
Temperature to be unchanged

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