Deck 7: Facing Death: Living With Life-Threatening Illness

Question 1

A crisis of self-identity begins with the initial shock of diagnosis as the person attempts to come to terms with the life-altering news is

A) preterminality and mitigation.
B) existential plight.
C) accommodation.
D) terminality plight.

Answer 1

B

Question 2

What is the oldest and frequently employed form of cancer therapy?

A) Radiation
B) Chemotherapy
C) Surgery
D) Ethnomedicine

Answer 2

C

Question 3

In Kenneth Doka's "Tasks in Coping with Life-threatening Illness," which phase is characterized by living with the disease and managing symptoms and side effects?

A) Terminal
B) Acute
C) Chronic
D) Psychological

Answer 3

C

Question 4

Cancer symbolizes the

A) number ten cause of death in America.
B) worst fears of our age.
C) disease for passive-type people.
D) status of a fatal disease.

Question 5

Which of the following terms BEST describes the process of a person who questions, "Am I responsible for bringing this illness on myself"?

A) Dying trajectory
B) Magical thinking
C) Reactive thinking
D) Physiological guilt

Question 6

According to Avery Weisman, the process of coping with a terminal illness can be divided into how many interrelated tasks?

A) Two
B) Three
C) Four
D) Five

Question 7

Cancer is classified according to how it has spread in the body. This process is called

A) phases.
B) steps.
C) staging.
D) pointing system.

Question 8

According to Kübler-Ross, all of the following are associated with a life-threatening illness EXCEPT

A) depression.
B) denial.
C) belief.
D) acceptance.

Question 9

The spreading of cancer to various parts of the body is known as

A) cellular cancer.
B) metastasis.
C) osmosis.
D) transference regeneration.

Question 10

Which statement best reflects the closed awareness context of family interactions in response to a life-threatening illness?

A) Non-verification of the illness, although the patient is aware that his or her prognosis may involve death.
B) The dying person is not aware of his or her impending death although others may know about it.
C) Participants sidestep direct communication about the patient's condition.
D) The situation is acknowledged by all parties.

Question 11

Corr's primary dimensions in coping with dying are physical, psychological, spiritual, and

A) religious.
B) autonomy.
C) hope.
D) social.

Question 12

According to Glaser and Strauss, which of the following communication styles are used by families when a family member is diagnosed with a life-threatening illness?
1) Closed awareness
2) Open awareness
3) Mutual pretense
4) Open pretense

A) 1, 2, and 3
B) 1, 2, and 4
C) 1, 3, and 4
D) 2, 3, and 4

Question 13

What disease used to mean a terminal prognosis but now because of early detection and treatment advances, is not always fatal?

A) Black Plague
B) Heart Disease
C) Cancer
D) Chronic liver failure

Question 14

How many stages are associated with the model of coping with life-threatening illness presented by Elisabeth Kübler-Ross?

A) Three
B) Four
C) Five
D) Six

Question 15

According to Avery Weisman, coping with life threatening illness involves tasks of maintaining a sense of optimism and hope and confronting the problem and

A) revising one's plans as necessary.
B) attempting to strike a deal with fate or with God.
C) writing a family love letter to complete unfinished business.
D) retreating and conserving energy.

Question 16

Which of the following are the three major psychological and behavioral patterns that individuals use in coping with the threat of death as identified by Therese Rando?
1) Retreat and conservation of energy
2) Attack and evaluate the threat
3) Attempting to master or control the threat of death
4) Exclusion from the threat of death

A) 1, 2, and 3
B) 1, 2, and 4
C) 1, 3, and 4
D) 2, 3 and 4

Question 17

Mutual pretense, as a way of coping with painful circumstances such as a terminal illness,

A) is never a truly effective means of coping.
B) can be a useful short-term strategy for coping with a painful situation.
C) rarely occurs among family members.
D) will not be carried on to the end.

Question 18

Metastasis is BEST defined as

A) the contracting of a contagious disease.
B) fear of dying.
C) research done on various types of cancerous tumors.
D) the spreading of cancer to various parts of your body.

Question 19

Which of the following statements is an example of the open awareness context of family interactions in response to a life-threatening illness?

A) Death is acknowledged and discussed.
B) Both the patient and others act as if the patient will recover.
C) A dying person tests family members in order to elicit information.
D) Not telling the terminally ill patient that he or she is likely to die but being open with the staff.

Question 20

What is the aim of meaning-based coping?

A) To manage the problem that is causing distress
B) To regulate the levels of distress
C) To maintain a person's sense of positive well-being
D) To take an active role in determining treatment options

Question 21

Norman Cousins stated, "The great tragedy of life is not death but what dies inside us as we

A) travel this world."
B) live."
C) march on."
D) age."

Question 22

Chronic pain usually persists longer than

A) one to two weeks.
B) two to four weeks.
C) one to three months.
D) three to six months.

Question 23

What is the positive response to a treatment that a person believes to be an effective therapy?

A) Ethnomedicine
B) Existential plight
C) Adjuvant therapy
D) Placebo effect

Question 24

What is ikigai ryoho?

A) An ancient belief that if death is faced positively, a favorable afterlife will follow
B) A modern Japanese treatment for AIDS
C) A therapy to help a patient's family deal with the death of a loved one
D) A psychotherapy that helps patients live fully and meaningfully

Question 25

What is ethnomedicine?

A) Music and art therapy
B) Prayer and mental healing
C) Bioenergetics and meditation
D) Conventional biomedicine and folk beliefs

Question 26

Which of the following BEST describes a lingering dying trajectory?

A) A person dies in a car accident.
B) A patient dies from a progressive chronic illness.
C) A person dies from a massive heart attack.
D) A patient dies from a cerebral aneurysm.

Question 27

Methods of treatment that the medical establishment considers unproved or potentially harmful are called

A) curanderismo.
B) radiation therapies.
C) unorthodox therapies.
D) complementary therapies.

Question 28

Bioenergetics, homeopathic medicine, and yoga are what form of cancer treatment option?

A) Complementary and alternative therapies
B) Bio-medicine
C) Naturopathic
D) Not considered valid therapies in the U.S.

Question 29

Side effects experienced by patients receiving chemotherapy can include all of the following EXCEPT

A) nausea and digestive problems.
B) loss of hair.
C) cyanotic lymph nodes.
D) mouth sores.

Question 30

What is visualization?

A) The patient imagines what the afterlife will be like.
B) The patient imagines the therapeutic agent inside the body helping to restore well-being.
C) It is a meeting of terminally ill patients gathered to discuss how their families will deal with their deaths.
D) Through the integration of emotions and cognitions, patients bring about changes in their families' perceptions about death and the afterlife.

Question 31

Digitalis, prescribed for heart ailments come from

A) the foxglove plants.
B) the bark of a white willow tree.
C) mold.
D) tea leaves.

Question 32

Which of the following statements about pain is true?

A) Pain can be directly measured.
B) Responses to pain are culturally shaped.
C) Recent therapies completely eliminate pain in terminal illness.
D) Morphine is never administered to patients as a way of managing pain.

Question 33

A psychotherapeutic technique used in Japan to assist cancer patients in finding meaning and living life to the fullest is known as

A) mai lai rioto.
B) ikigai ryoho.
C) shibata.
D) ayurveda.

Question 34

Which is the most common symptom in terminally ill patients?

A) Depression
B) Fear
C) Pain
D) Anger

Question 35

It is important to distinguish between pain and

A) perception.
B) acute pain.
C) suffering.
D) chronic pain.

Question 36

The therapies included under complementary and alternative medicine are sometime referred to as

A) integrative medicine.
B) twenty-first century medicine.
C) voodoo.
D) non-standard practice medicine.

Question 37

What therapy uses ionizing radiation to preferentially destroy cells that divide rapidly?

A) Radiation
B) Chemotherapy
C) CAM therapy
D) Surgery

Question 38

According to Yvette Colón of the American Pain Foundation, what is a critical first step in assessing and managing pain?

A) Asking family members
B) Taking a thorough medical history
C) Belief that pain is real
D) Observing facial expressions and non-verbal cues for evidence of pain

Question 39

A patient's "total pain" includes
1) psychological.
2) economic.
3) social.
4) spiritual.

A) 1, 2, and 3
B) 1, 2, and 4
C) 2, 3, and 4
D) 1, 3 and 4

Question 40

What term do Shupe and Hadden use to identify varied therapies such as "faith healing, supernatural healing, and folk healing"?

A) Cross-cultural healing
B) Symbolic healing
C) Innovative healing
D) Body work

Question 41

In her essay titled "The Eyes of a Dying Man", Rando suggests that being with a dying person at the moment of death is transformative.

Question 42

The Kübler-Ross model of coping has no bearing today on understanding how people experience the prospect of dying.

Question 43

Often, the only task that matters in being with someone who is dying is to

A) offer food and drink.
B) make gentle attempts to keep the person quiet and at rest.
C) steer conversations away from the afterlife.
D) sit still and listen.

Question 44

What did Eric Cassell write about the social role of the dying patient?

A) The death of the body is a physical phenomenon whereas the passing of the person is nonphysical.
B) Illness is accompanied by a social role and responsibility.
C) The social role of the dying patient is the same as the social role of other patients.
D) The social role of the dying patient includes maintaining the illusion of health.

Question 45

Pain can be directly measured and observed.

Question 46

According to Rando, coping is limited to psychological, cognitive, and emotional processes.

Question 47

For decades the most useful agents for the treatment of pain associated with advanced disease were opioid analgesics.

Question 48

Terminal restlessness is a welcomed medical condition showing the ability to maintain attention at the end-of-life.

Question 49

The study of medicinal plants has become unimportant to pharmacology in the twenty-first century.

Question 50

Chronic pain may affect sleep and appetite but doesn't result in lost sexual interest.

Question 51

Palliation of symptoms using surgery may be used to improve the quality of life.

Question 52

A massive heart attack is illustrative of one type of dying trajectory.

Question 53

People near the end of life in the active dying stage are often more comfortable without foods or liquids.

Question 54

Which of the following are spiritual needs of dying patients?
1) Need for hope and creativity
2) Need to complete a will for loved ones
3) Need to give and receive love
4) Need for meaning and purpose

A) 1, 2, and 3
B) 1, 3, and 4
C) 1, 2, and 4
D) 2, 3, and 4

Question 55

A statement from the federal Food and Drug Administration (FDA) states there are now hundreds of sound scientific studies to support the medical use of marijuana.

Question 56

Chemotherapy involves the use of toxic drugs.

Question 57

"Magical thinking" is a great way for the dying patient to fantasize about the afterlife.

Question 58

Over 50 percent of the world's population has adequate access to opioid medications for patient pain control.