CNA Certification (Written Exam)Communication and Psychosocial NeedsHard
A nurse aide is caring for a dying resident who suddenly becomes agitated, restless, and picks at the bedsheets despite receiving pain medication. This behavior is best described as:
- AAn allergic reaction to medication
- BTerminal restlessness
- CSundowning
- DA sign of improving condition
Show answer & explanationAnswer & explanation
Correct answer: B. Terminal restlessness
Terminal restlessness (terminal agitation) is a common phenomenon near the end of life, involving increased confusion, agitation, and picking at bedding or clothing, even when pain is controlled. It is not the same as sundowning, which occurs in dementia and follows a daily time pattern.
Why the other options are wrong
- A. There is no indication of allergic reaction symptoms like rash or breathing difficulty.
- C. Sundowning specifically relates to dementia and occurs in late afternoon/evening, not necessarily near death.
- D. This behavior indicates decline, not improvement.
Terminal Restlessness
A state of agitation, confusion, and restlessness that can occur in the final days or hours of life, sometimes despite adequate pain control.
- Occurs near end of life
- May include picking at sheets or repetitive movements
- Different from sundowning, which is dementia-related and time-of-day based
Memory trick: Terminal restlessness = the body's final storm.