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Questions and Answers
A terminal illness will eventually cause death.
A terminal illness will eventually cause death.
True
Older people or those with terminal illnesses rarely have time to prepare for death.
Older people or those with terminal illnesses rarely have time to prepare for death.
False
Preparing for death is a process that affects the dying person's emotions and behavior.
Preparing for death is a process that affects the dying person's emotions and behavior.
True
All people with terminal illnesses will pass through each stage described by Dr. Kübler-Ross.
All people with terminal illnesses will pass through each stage described by Dr. Kübler-Ross.
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Residents may move back and forth between the stages of the grief process.
Residents may move back and forth between the stages of the grief process.
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Which stage of grief is Mr. Cane in if he insists on getting further opinions about his inoperable brain tumor?
Which stage of grief is Mr. Cane in if he insists on getting further opinions about his inoperable brain tumor?
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What stage of grief is Mrs. Tyler in when she lashes out at her NA, Annie?
What stage of grief is Mrs. Tyler in when she lashes out at her NA, Annie?
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What stage of grief is Mr. Lopez in when he discusses his memorial service with his family?
What stage of grief is Mr. Lopez in when he discusses his memorial service with his family?
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Which stage of grief is Ms. Corke in when she has drastically changed her mood after being diagnosed with Lou Gehrig's disease?
Which stage of grief is Ms. Corke in when she has drastically changed her mood after being diagnosed with Lou Gehrig's disease?
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What stage of grief is Mrs. Palmer experiencing when she avoids discussing her arrangements and talks about future plans?
What stage of grief is Mrs. Palmer experiencing when she avoids discussing her arrangements and talks about future plans?
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What stage is Mr. Celasco in when he pledges to quit smoking for more years of life?
What stage is Mr. Celasco in when he pledges to quit smoking for more years of life?
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What stage of grief is Mr. Jansen in when he contacts a lawyer to arrange his estate?
What stage of grief is Mr. Jansen in when he contacts a lawyer to arrange his estate?
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What reaction is Malcolm experiencing when he feels upset with his deceased wife?
What reaction is Malcolm experiencing when he feels upset with his deceased wife?
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What reactions is Becky having regarding her mother's death?
What reactions is Becky having regarding her mother's death?
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What reaction is Melinda having when she prepares for school shortly after her grandmother's death?
What reaction is Melinda having when she prepares for school shortly after her grandmother's death?
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What reaction is Micha experiencing after the death of his best friend, Lawrence?
What reaction is Micha experiencing after the death of his best friend, Lawrence?
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What reaction is Theresa experiencing after her son drowns at a pool party?
What reaction is Theresa experiencing after her son drowns at a pool party?
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What reaction is Casey having when he feels little emotion after his brother's sudden death?
What reaction is Casey having when he feels little emotion after his brother's sudden death?
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______ perspiring residents often; skin should be clean and dry.
______ perspiring residents often; skin should be clean and dry.
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Residents may not be able to communicate that they are in _____ observe for signs and report them.
Residents may not be able to communicate that they are in _____ observe for signs and report them.
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Changes of position, back massage, skin care, mouth care, and proper body _____ may help relieve pain.
Changes of position, back massage, skin care, mouth care, and proper body _____ may help relieve pain.
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______ may be one of the most important things you can do for a resident who is dying, pay attention to these conversations.
______ may be one of the most important things you can do for a resident who is dying, pay attention to these conversations.
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______ can be very important, holding your resident's hand can be comforting.
______ can be very important, holding your resident's hand can be comforting.
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Do not _____ the dying person or his family, do not deny that death is approaching, and do not tell the resident that anyone knows how or when it will happen.
Do not _____ the dying person or his family, do not deny that death is approaching, and do not tell the resident that anyone knows how or when it will happen.
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_______ is usually the last sense to leave the body.
_______ is usually the last sense to leave the body.
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Provide _____ for visits from clergy, family, and friends.
Provide _____ for visits from clergy, family, and friends.
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Do not discuss your personal _____ or spiritual beliefs with residents or their families or make recommendations.
Do not discuss your personal _____ or spiritual beliefs with residents or their families or make recommendations.
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What are three legal rights that must be honored when working with residents who are dying?
What are three legal rights that must be honored when working with residents who are dying?
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Hospice care is the term for compassionate care given to whom?
Hospice care is the term for compassionate care given to whom?
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Hospice care encourages residents to do what?
Hospice care encourages residents to do what?
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What do hospice goals focus on?
What do hospice goals focus on?
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Focusing on pain relief, controlling symptoms, and preventing complications is called ____ care.
Focusing on pain relief, controlling symptoms, and preventing complications is called ____ care.
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List seven guidelines that are helpful for hospice work.
List seven guidelines that are helpful for hospice work.
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When death occurs, the body will not have a heartbeat.
When death occurs, the body will not have a heartbeat.
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The eyelids will automatically close after death.
The eyelids will automatically close after death.
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The body may be incontinent of both urine and stool after death.
The body may be incontinent of both urine and stool after death.
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The muscles in the body become loose and relaxed after death.
The muscles in the body become loose and relaxed after death.
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The nurse should be called immediately to confirm death.
The nurse should be called immediately to confirm death.
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After death, the muscles in the body become what?
After death, the muscles in the body become what?
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Caring for a body after death is called what?
Caring for a body after death is called what?
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After death, the NA should place drainage pads under the body. These pads are most often needed under the?
After death, the NA should place drainage pads under the body. These pads are most often needed under the?
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If family members would like to remain with their loved one's body after death, what should the NA do?
If family members would like to remain with their loved one's body after death, what should the NA do?
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Most people grieve in the same way.
Most people grieve in the same way.
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Some people like to remain with the body to perform religious rituals.
Some people like to remain with the body to perform religious rituals.
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The overall mood at a wake is usually very sad and somber.
The overall mood at a wake is usually very sad and somber.
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Having an open casket means the preserved body will be displayed to others.
Having an open casket means the preserved body will be displayed to others.
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Some people will choose to be cremated, which means the body is burned until it is reduced to ashes.
Some people will choose to be cremated, which means the body is burned until it is reduced to ashes.
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Readings of religious scripture and prayers may take place at a funeral.
Readings of religious scripture and prayers may take place at a funeral.
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An atheist's funeral will normally involve prayers, hymns, and other religious rituals.
An atheist's funeral will normally involve prayers, hymns, and other religious rituals.
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The NA should remain professional and respect whether or not he agrees with the rituals that take place after a resident has died.
The NA should remain professional and respect whether or not he agrees with the rituals that take place after a resident has died.
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With a natural burial, the body is embalmed before placing it directly into the ground.
With a natural burial, the body is embalmed before placing it directly into the ground.
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Study Notes
Terminal Illness and Grief Stages
- Terminal illness leads to eventual death; this is a fact.
- Older adults and those with terminal conditions can have preparation time for death.
- Emotional impacts of preparing for death influence a dying individual's behavior and feelings.
- Not every individual with a terminal illness will experience all stages of grief as per Dr. Kubler-Ross.
- Individuals experiencing grief may oscillate between stages rather than follow a linear progression.
Stages of Grief
- Denial: Mr. Cane seeks multiple opinions about an inoperable brain tumor, indicating refusal to accept the diagnosis.
- Anger: Mrs. Tyler expresses frustration towards her caregiver, furious about her situation with heart disease.
- Acceptance: Mr. Lopez plans his memorial, showing readiness to accept his fate with AIDS.
- Depression: Ms. Corke, diagnosed with Lou Gehrig's disease, exhibits loss of interest and isolation.
- Denial: Mrs. Palmer discusses future plans irrelevant to her terminal cancer, showing a refusal to confront her reality.
- Bargaining: Mr. Celasco proposes to quit smoking for a chance at extended life after learning treatments are exhausted.
- Acceptance: Mr. Jansen organizes his estate decisions early, recognizing his declining health due to Alzheimer's.
Reactions to Grief
- Malcolm's anger and sadness towards his deceased wife reveal unresolved feelings from her death during childbirth.
- Becky experiences guilt and relief after her mother's death, reflecting on past resentment.
- Melinda's normal routine following her grandmother's passing indicates denial of her grief.
- Micha feels loneliness after losing his closest friend, highlighting the important bond they shared.
- Theresa grapples with guilt over her son's accidental drowning, stemming from feelings of culpability.
- Casey feels shock after the sudden death of his brother, indicating emotional numbness.
Care Practices in Hospice
- Regular bathing is crucial for residents to maintain cleanliness, especially with perspiration.
- It's vital to monitor residents for uncommunicated pain signs.
- Comfort measures include proper positioning, back massages, and skin care.
- Active listening is essential to support dying residents during their final conversations.
- Physical touch, like holding hands, can provide significant comfort.
- Never avoid confronting the reality of death with residents or their families—honesty is essential.
- Hearing is typically the last sense to fade; attention to auditory responses is critical.
- Privacy for family visits and spiritual practices should be prioritized.
Hospice Care Principles
- Hospice care focuses on compassionate support for residents nearing death.
- Encourages involvement in their healthcare decisions.
- Goals center on ensuring comfort and preserving dignity.
- Palliative care emphasizes managing pain and avoiding complications.
- Key guidelines for hospice work include being an attentive listener, respecting privacy, and maintaining self-awareness.
Understanding Death
- Death is confirmed when a heartbeat ceases.
- Post-death, eyelids do not automatically close, and bodies may exhibit incontinence.
- Muscles become stiff post-mortem, a process known as rigor mortis.
- Staff must notify a nurse immediately upon the occurrence of death.
- Proper postmortem care is essential for dignity after death, including drainage pad placement and allowing family presence.
Grieving Process and Cultural Sensitivity
- Grieving varies widely among individuals; generalizations should be avoided.
- Religious rituals may be conducted post-death; respect for these beliefs is crucial for care providers.
- The atmosphere at a wake can vary and may not always be somber.
- Cremation is an option for many, contrasting with traditional burial practices.
- An atheist's funeral typically does not involve religious elements.
- Personal beliefs must remain separate from professional duties in caring for residents' families.
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Description
This quiz explores the emotional journey individuals face when dealing with terminal illness and the stages of grief as described by Dr. Kübler-Ross. Understand how denial, anger, acceptance, and depression manifest in real-life situations among patients facing critical health diagnoses. Gain insights into the non-linear nature of grief and its impact on behavior.
