Deck 15: Death and Dying

Question 1

Dr.Reynolds specializes in the study of death and dying,also known as:

A)morphology.
B)deathology.
C)thanatology.
D)teleology.

Answer 1

C

Question 2

A hospice worker most likely would be committed to all of the following EXCEPT:

A)providing a supportive psychological environment for dying people.
B)offering back up care for families who are caring for dying loved ones at home.
C)offering follow up bereavement counseling to families.
D)making sure that patients stay in the hospital during their final days.

Answer 2

D

Question 3

The concept that expensive lifesaving measures should not be used on people older than age 80 is known as:

A)age-based rationing of care.
B)active euthanasia.
C)ageism.
D)age euthanasia.

Answer 3

A

Question 4

James has a degenerative disease and is not expected to live much longer.He is very concerned about the quality of his remaining life,and does not want to be connected to life-sustaining machines if he cannot make his wishes known.James should consider preparing:

A)an advance directive.
B)a "Do Not Resuscitate" order.
C)a "Do Not Use Heroic Measures" order.
D)a will.

Question 5

The type of death from which it is most difficult to recover is the death of one's:

A)best friend.
B)parent.
C)child.
D)sibling.

Question 6

In a living will,the:

A)person designates someone else to make health care decisions when she or he is incapacitated.
B)doctor and family automatically make health care decisions in the case of incapacity.
C)person spells out his or her health care wishes if he or she is incapacitated.
D)person says if he or she wants to live in the case of cardiac arrest.

Question 7

Miriam's mother is 93-years old and has recently been admitted to the palliative-care unit of her hospital.This unit is devoted to:

A)medical interventions to shorten her life.
B)curing her illness.
C)offering heroic measures to save her life.
D)end-of-life care such as pain control and comfort care.

Question 8

Elisabeth Kübler-Ross found that dying patients:

A)often wanted to talk about their diagnosis.
B)did not know that their condition was terminal.
C)were simply terribly depressed.
D)would rather not discuss their situation.

Question 9

The idea that society should not use expensive life-sustaining technologies on people in their old-old years is called:

A)passive euthanasia.
B)physician assisted suicide.
C)active euthanasia.
D)age-based rationing of care.

Question 10

Dr.Yu teaches classes on thanatology.One of Dr.Yu's lectures would MOST likely concern the ways to:

A)prepare patients for childbirth.
B)inform patients that they have terminal cancer.
C)teach medical residents to administer injections.
D)prepare anesthesia.

Question 11

According to the text,Elisabeth Kübler-Ross's idea that people go through stages in approaching dying is:

A)valid according to current research.
B)generally correct.
C)not supported by the evidence.
D)needs more research.

Question 12

A deliberate intervention that helps a terminally ill patient to die is called:

A)active euthanasia.
B)passive euthanasia.
C)post-conventionality.
D)unintentional thanatopsis.

Question 13

When the death of a child becomes imminent,health care professionals should tell parents to:

A)distance themselves from the child to protect themselves emotionally.
B)help participate in the hands-on care.
C)give the child space to die alone.
D)avoid conversations about death.

Question 14

The awareness of dying may not fully penetrate a person's consciousness,even when that person learns that he or she has a terminal illness.This emotional state is called _____ knowledge.

A)centered
B)middle
C)affective
D)blocked

Question 15

Francine,a nursing student,is taking courses on end-of-life care instruction.MOST likely,Francine is learning how to:

A)provide life-prolonging treatments.
B)deliver the best palliative care to the dying.
C)revive a patient in the case of cardiac arrest.
D)prepare an advance directive.

Question 16

When a physician prescribes a lethal medication for a terminally ill patient to take on his or her own,this is called:

A)passive euthanasia.
B)physician-assisted suicide.
C)a living will.
D)a "Do Not Resuscitate" order.

Question 17

Carlotta is 90-years old and terminally ill.Her family has decided that it would be best for her to receive palliative care at home instead of in the hospital.Carlotta's family is recommending that she receive _____ care.

A)foreclosed
B)critical
C)terminal
D)hospice

Question 18

Ayotunde is in the late stages of breast cancer.Because she is unmarried and has no children,she has prepared an advance directive designating that her sister make her health-care decisions if Ayotunde is unable to make her wishes known.Ayotunde has prepared a:

A)living will.
B)durable power of attorney for health care.
C)"Do Not Resuscitate" order.
D)post-conventional memorandum.

Question 19

For most of human history,death was:

A)strange,unusual,and foreign.
B)familiar,predictable,and normal.
C)anticipated,welcomed,and celebrated.
D)hidden away and never discussed.

Question 20

The three most common pathways to death are: sudden and unexpected death,death occurring after a steady decline,and death after:

A)a rally leading to a health improvement.
B)a long,erratic process of ups and downs.
C)physician-assisted procedures.
D)a sharp decline over a week.

Question 21

According to the text,only religious people can have "good deaths."

Question 22

The most effective advance directive is a living will.

Question 23

People go through five stages in coming to terms with having a terminal illness.

Question 24

Hospice care is only available to middle-class people in the United States.

Question 25

When a person with a possibly terminal illness enters the hospital,health-care workers make predictions about when and how the patient is likely to die.

Question 26

Almost all patients die within a week or two after enrolling in hospice.

Question 27

Courses in end-of-life care are rarely available in nursing and medical schools.

Question 28

Unlike younger people,the elderly typically say they are not afraid of death.

Question 29

How are people MOST likely to die today?

A)suddenly,without warning,due to an accident,heart attack,or stroke
B)after rapidly declining for months from some fatal disease
C)after a prolonged period of ups and downs when battling a fatal chronic disease
D)after a few days from an infectious disease

Question 30

When family members don't get upset after a loved one dies,this shows that they didn't love that person.

Question 31

Age-based rationing of care refers to the principle that old people should receive the most aggressive medical treatments.

Question 32

Which is NOT a common way people die today?

A)suddenly,due to an accident,heart attack,or stroke
B)after steadily declining from some illness,such as cancer
C)after a prolonged period of ups and downs when battling a fatal chronic disease
D)due to bacterial infections for which there is no medication

Question 33

When people know they are dying,they abandon hopes and plans for the future.

Question 34

Today,most people die after a prolonged period of ups and downs when battling a chronic disease.

Question 35

Today,health-care workers are more apt to talk openly about death than they did fifty years ago.

Question 36

For most of human history,the act of dying was hidden from view.

Question 37

Believing one's life has had purpose is important in having a good death.

Question 38

Hospital-based palliative care units provide state-of-the art comfort care to dying patients.

Question 39

Physician-assisted suicide is legal in Vermont.

Question 40

Active euthanasia is the label for withholding potentially life-saving treatments from terminally ill people and allowing nature to take its course.

Question 41

Which death pattern is NOT common today?

A)dying slowly
B)dying in old age
C)rarely seeing people die
D)dying within a few days of getting ill

Question 42

If Sophia lived and died in the seventeenth century,all would tend to be true EXCEPT that she:

A)saw death frequently from a young age.
B)probably died of an infectious disease.
C)died in old age.
D)saw many family members die.

Question 43

The main change in Western dying practices is that now people think it's important to:

A)discuss and plan their death.
B)die in a hospital.
C)have doctors heavily involved in terminal care.
D)witness death in person,or "in the flesh."

Question 44

According to the text,dying patients:

A)want to talk openly about their illness and prognosis.
B)want to know all the details about their illnesses and prognoses.
C)don't want to discuss their illness.
D)have no standard reactions,as each person and culture is different.

Question 45

The Hmong dying ritual differs from typical U.S.death experiences due to the Hmong culture's:

A)hands-on approach to dying people.
B)tendency to openly discuss dying.
C)short funeral service.
D)family-centered funeral.

Question 46

Put the historical sequence of events in order: (1)before the twentieth century; (2)early through mid-twentieth century; (3)twenty-first century.

A)(1)death is familiar and all around; (2)death is hidden and never discussed; (3)death is discussed openly,and attention is paid to high quality end-of-life care
B)(1)death is discussed openly; (2)death is familiar and all around; (3)death is hidden and never discussed
C)(1)death is discussed openly,and attention is paid to quality end-of-life care; (2)death is familiar and all around; (3)death is hidden and rarely discussed
D)(1)death is hidden and never discussed; (2)death is discussed openly,and attention is paid to quality end-of-life care; (3)death is familiar and all around

Question 47

Aliyah is living in 2015.Unlike her granddad who lived in the 1950s,Aliyah would probably:

A)openly discuss dying.
B)often see people die.
C)be kept alive when she decided on terminal care.
D)not be afraid of dying.

Question 48

When Ketifa was dying of lung cancer,she never wanted to discuss her condition with loved ones.The text implies this was MOST likely because Ketifa:

A)was seriously emotionally disturbed.
B)wanted to preserve her attachment relationships and spare her family pain.
C)had no clue that she might die and did not want to pass along false information.
D)wanted to distance herself from loved ones.

Question 49

If Hildegard lived before the twentieth century,she would MOST likely die of a(n)_____.

A)infectious disease
B)broken limb
C)heart attack
D)chronic disease

Question 50

The newest trend in care of the dying is to:

A)prevent death through heroic measures.
B)help ease people through the terminal phase of life.
C)rely more on doctors for diagnoses.
D)return to emphasizing primary care.

Question 51

If someone died in the nineteenth century,which would NOT tend to be true?

A)Death would come quickly after suddenly getting ill.
B)The person would die surrounded by doctors.
C)Death would occur at a far younger age than today.
D)Dying would be a familiar,ordinary experience.

Question 52

During the twentieth century,doctors began to see death as:

A)a symptom of failure.
B)normal.
C)rare.
D)predictable at every age.

Question 53

Dr.Terminal is describing the age pattern of developed-world deaths.Which description should he use?

A)spread out fairly equally among age groups
B)most common in infancy and among the elderly
C)concentrated at the upper end of the lifespan (in old age)
D)most common in late-middle age

Question 54

Kübler-Ross's enduring contribution to death and dying was to:

A)alert society to the need to pay attention to the emotions of terminally ill people.
B)show that terminally ill people progress through five stages.
C)highlight that everyone wants to talk about being terminally ill.
D)reveal that anger and bargaining are important emotions in terminal illness.

Question 55

Selena,age 70,just found out she has terminal cancer.Unlike her grandma who had the same illness in the 1950s,Selena's doctors will:

A)openly reveal Selena's diagnosis.
B)hide Selena's diagnosis.
C)have assistants reveal Selena's diagnosis.
D)lie about Selena's diagnosis.

Question 56

For most of human history,death was common:

A)in old age.
B)at all ages.
C)during the middle of the lifespan.
D)in old age,but only among the affluent.

Question 57

Henri is visiting a dying friend.Generalizing from the text,Henri can expect:

A)his friend to talk about the impending death.
B)his friend to go through stages in coming to terms with death.
C)his friend to avoid discussing the impending death.
D)nothing,as everyone has his or her own way of approaching death.

Question 58

In affluent countries,most people die from:

A)infectious illnesses.
B)homicide or suicide.
C)age-related chronic disease.
D)an unknown cause.

Question 59

Generalizing from the text,which is the BEST strategy for a health-care professional to follow with terminally ill patients?

A)Bring up the topic of dying so that people fully express their emotions.
B)Take cues from individual people as to whether they want to talk about dying.
C)Try to get people to move from bargaining to anger,to depression,to acceptance.
D)Avoid the topic of dying and death.

Question 60

An elderly Hmong man is dying of cancer in a hospital.Based on the text,a health-care professional should NOT:

A)discuss the "facts" about his illness with this man.
B)provide heroic treatments for this man.
C)tell the rest of the staff about this man's prognosis.
D)give this man drugs to ease his pain.

Question 61

Which grief pattern is universal?

A)yearning for a deceased loved one for decades
B)keeping one's emotions in check around family and friends
C)being terribly upset during the first 6 months,and then slowly reconnecting with life
D)having no pattern,as people and cultures grieve in different ways

Question 62

Which is NOT a legitimate criticism of Elizabeth Kübler-Ross's stage theory of dying?

A)Not all terminally ill patients want to talk about death.
B)People don't go through stages in coping with dying.
C)People go through ten stages in coping with dying,not five.
D)Not all cultures agree that it's appropriate to tell people they are dying.

Question 63

If a psychologist has diagnosed a widow with persistent complex bereavement-related disorder,what does this means?

A)A year or so after losing her husband,this woman still is totally immersed in grieving.
B)Three months after her husband's death,this woman is still totally immersed in grieving.
C)This woman never loved her husband.
D)A year after the death,this woman continues to say that her husband is the love of her life.

Question 64

Which word or phrase(s)BEST describes Elisabeth Kübler-Ross's idea that dying people progress through stages?

A)wrong
B)on target
C)applies to some people,not others
D)needs more research

Question 65

To find out if Juliana had a relatively "good death," which of the following is NOT a question her friend might ask?

A)Did Juliana feel her life had meaning and purpose?
B)Was Juliana's death free from debilitating pain?
C)Did Juliana die feeling close to loved ones?
D)Was Juliana religious?

Question 66

Kemal has a fatal disease.Based on the text,her main feeling is MOST apt to be _____.

A)hope
B)anger
C)depression
D)bargaining

Question 67

The elderly are MORE _____ of dying than younger adults.

A)accepting and less fearful
B)terrified and phobic
C)depressed and frightened
D)angry and rejecting

Question 68

According to the text,all these qualities are important in having a "good death" EXCEPT:

A)feeling close emotionally to loved ones.
B)being as free as possible from debilitating pain.
C)believing that one's life had purpose.
D)being very religious.

Question 69

Which quality is LEAST important in having a good death?

A)believing in an afterlife
B)feeling one's life had meaning and purpose
C)feeling close to loved ones
D)feeling psychologically secure

Question 70

According to the text,if Sasha is dying,which of the following will NOT be likely?

A)She will experience many different feelings.
B)Hope will be her main emotion.
C)Plans and goals will still be on her mind.
D)She will no longer care about her family.

Question 71

Some days Mituo's terminally ill grandma accepts the fact that she is dying,and sometimes she still talks about taking that cruise she planned for next year.The name for Grandma's thinking is _____ knowledge.

A)partial
B)middle
C)shallow
D)final

Question 72

According to the text,which quality is LEAST important in having a good death?

A)having reached integrity
B)feeling that one has been generative
C)feeling one's life has been meaningful
D)having a strong religious faith

Question 73

The main sign of "recovering" from mourning is:

A)no longer feeling upset about the death.
B)finding meaning and taking pleasure in life.
C)stopping crying.
D)not missing the person who has died.

Question 74

All things being equal,_____ people are LEAST likely to get upset when facing a fatal disease.

A)elderly
B)poverty-level
C)wealthy
D)religious

Question 75

Swedish research suggests terminally ill patients:

A)want to know the truth,but not every dire detail about their prognoses.
B)avoid learning any information about their diseases or prognoses.
C)totally deny the fact that they are dying.
D)completely accept impending death.

Question 76

Which is NOT a problem with seeing dying as progressing in defined stages?

A)People go through stages but at different rates.
B)Outsiders can misread legitimate feelings like anger or depression as artificial "stages."
C)This idea allows people to distance themselves emotionally from dying loved ones.
D)This theory is not true!

Question 77

All things being equal,the age group MOST likely to have trouble coping with a fatal disease is in their _____.

A)twenties
B)fifties
C)seventies
D)eighties

Question 78

Chandi,a writer,is dying and accepts that fact.According to the text,Chandi will MOST likely:

A)stop planning for the future.
B)still have plans for the future,hoping her work makes a difference in the world.
C)withdraw completely from loved ones and just focus on her writing until the end.
D)just want to die quickly.

Question 79

Martin is in hospice.Generalizing from the text,he is MOST likely to feel:

A)just unbelievably depressed.
B)terrified all of the time.
C)depressed,but hopeful his life will have made a difference in the world.
D)completely hopeless as his illness is terminal and there is no cure.

Question 80

Generalizing from the text,if a widow says,"It was a relief that my husband died," MOST likely this woman:

A)cannot love.
B)was in a bad marriage and is being honest.
C)is reacting normally if her spouse was suffering greatly.
D)is denying reality and will get very upset later on.