Chapter 31 Post-Mortem care Exam Questions and Answers
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Chapter 31 Post-Mortem care
Institution
Chapter 31 Post-Mortem Care
Chapter 31 Post-Mortem care
Post-Mortem care - Answer- Caring for the deceased patient's body after death with sensitivity.
Autopsy consent - Answer- A health care provider may request permission from the family for an autopsy or postmortem examination. Must be signed by appropriate family me...
Chapter 31 Post-Mortem care
Post-Mortem care - Answer- Caring for the deceased patient's body after death with
sensitivity.
Autopsy consent - Answer- A health care provider may request permission from the
family for an autopsy or postmortem examination. Must be signed by appropriate
family member and health care provider.
Who certifies a death and records the time and actions taken at the time of death in
the medical records? - Answer- Designated Health care provider, usually a physician
or nurse practitioner.
Can the care of body after death be delegated? - Answer- Yes, to a nursing assistive
personal (NAP), but it is often easier for the Nurse and NAP to work together
providing post mortem care.
Assessment - Answer- Identify patient using at least two identifiers. (e.g., Name and
birthday or medical record number) Ask health care provider to establish time of
death and determine whether he or she has requested an autopsy. Determine
whether family, significant other. Identify next of kin or power of attorney.
livor mortis - Answer- also known as post-mortem lividity or post-mortem hypostasis.
The pooling of the blood in tissues lower portion of the body after death resulting in a
dark purple discoloration of the skin.
Family member becomes immobilized with grief and has difficulty functioning - -
Answer- Enlist help of family members or trusted friend to provide direction or
support.
Offer assistance from a counselor, social worker or pastoral care.
Family member becomes agitated and threatens or strikes out against others. -
Answer- Call for assistance from psychiatric nurse practitioner, spiritual care provider
or social worker.
Enlist help from security staff or crisis intervention professional if safety is a concern.
patient centered care - Answer- Cultural sensitivity is crucial in providing patient-
centered care at the end of life. Patients health care beliefs, practices,
communication patterns and family structure affect the dying process.
Difference between Hospice and Palliative care. - Answer- Palliative care is used in
varying extent at any time during an illness. Hospice care is designed exclusively for
patients near the end of life.
Time of stay differential between Hospice and Palliative care. - Answer- Palliative -
chronic illness over an extended period of time.
, Hospice - 6 to 12 months designated for hospice.
When recording time and death. - Answer- Include the time professional notified,
name professional pronouncing death, postmortem completion , identification &
disposition of body, information provided to significant other, if autopsy consent (if
needed) was signed. Personal belongings given too.
Unless there are cultural practices that prohibit certain care practices, a nurse will
expect to do which of the following when performing postmortem care? (Select all
that apply.)
A. Tie hands together at the top of the body
B. Shave facial hair and trim eyebrows
C. Replace dentures if able to insert
D. Close eyes by applying light pressure
E. Wash soiled body parts - Answer- C. Replace dentures if able to insert
D. Close eyes by applying light pressure
E. Wash soiled body parts
When providing support to family caregivers who are grieving, what is the nurse's
first priority?
A. Encourage other family members to visit
B. Begin education on ways to cope with grief
C. Demonstrate empathy and understanding
D. Refer family caregiver to spiritual counseling - Answer- C. Demonstrate empathy
and understanding
Which physical symptoms are associated with impending death? (Select all that
apply.)
A. Warmth of the skin
B. Bladder incontinence
C. Increased food intake
D. Labored breathing
E. Restlessness - Answer- B. Bladder incontinence
D. Labored breathing
E. Restlessness
The nurse is caring for a patient who just died. Which action does the nurse take first
to determine if the patient is an organ or tissue donor?
A. Delegate the task to nursing assistive personnel (NAP).
B. Determine the patient's legal representative.
C. Request a copy of the patient's driver's license.
D. Ask the spouse to sign an organ donation consent. - Answer- B. Determine the
patient's legal representative.
The family of the patient receiving hospice care is at the bedside expecting an
imminent death. They become upset when the patient suddenly becomes restless
and disoriented. Which action by the nurse is most appropriate? a. Apply oxygen
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