Certified Hospice and Palliative Assistant (CHPNA) Practice Test

Which of the following is a sign or symptom of imminent death?

1. Increased energy levels

2. Dysphagia

3. Improved appetite

4. Clear speech

The correct answer is: Dysphagia

Dysphagia, or difficulty swallowing, is often a sign that a person is approaching the end of life. As the body begins to shut down, various physiological changes occur, which can affect swallowing and digestion. This symptom indicates that the body is no longer able to efficiently process food and fluids, which is common in individuals who are nearing death. In contrast, increased energy levels or improved appetite are typically not consistent with impending death, as most individuals experience fatigue and a decline in the desire to eat. Similarly, clear speech is generally a sign of good cognitive function and health, which would not align with the signs of imminent death. Therefore, dysphagia is an important indicator of this stage, highlighting the changes in bodily functions that caregivers and healthcare providers may observe in patients nearing the end of their lives.