Deck 15: Death and Dying

Question 1

The _______ theory of death is considered by some too constricting and does not allow for individualism in the experience of death.

A) stage
B) end of life
C) spiritual
D) psychological

Answer 1

A

Question 2

Physical care of the body to prepare it for viewing by the family and for mortuary procedures is called _____________.

A) morgue care
B) postmortem care
C) premortem care
D) mortuary

Answer 2

B

Question 3

During the aftercare procedure, the body is handled _________ and with _______ at all times.

A) slowly; care
B) gently; respect
C) quickly; care
D) leisurely; worry

Answer 3

B

Question 4

To determine brain death, specific medical assessment may be carried out on the patient to determine absence of breathing, the response to painful stimuli, and the presence of ______________.

A) cranial reflexes
B) acuity response
C) respiratory reflexes
D) cardiac response

Question 5

Rigor mortis, the natural stiffening of the body, begins approximately ______ after death and peaks at 8 to 10 hours.

A) 15 minutes
B) 30 minutes
C) 1 hour
D) 1.5 hours

Question 6

Decisions about end-of-life care fall to the ___________ when the patient is not able to communicate his or her wishes.

A) friends
B) family
C) hospital administrator
D) clergy

Question 7

If no decision has been made by the patient, the attending ______ must, by law, ask the patient and family to consider organ donation.

A) physician
B) family
C) chaplain
D) nurses

Question 8

After death, the collection of fluid that turns the ears and cheeks red or purple is called _______ mortis.

A) rigor
B) post
C) livor
D) pooled

Question 9

Although grief and other deep emotions are present in all families at the time of death, these feelings are often mitigated by ritual and ceremony that ________________.

A) comfort as well as heal the living
B) allow the families to forget
C) let families pretend nothing happened
D) allow families to think about their grief

Question 10

Communication with the dying patient requires ___________.

A) avoidance of the subject
B) keen listening and observation skills
C) assurance that all will be okay
D) refusal to listen

Question 11

Because death in the operating room ________, the circulator must initiate all forms as for any sentinel event.

A) is a sentinel event
B) is unusual
C) is uncommon
D) does not happen

Question 12

Reactions and coping skills available to health care professionals are influenced by the following factors, EXCEPT __________.

A) lack of support
B) the health care professional's beliefs and values
C) previous experience with death
D) emotional well-being

Question 13

Many cultures and faiths forbid organ removal after death, and these cases are usually _______________.

A) difficult to persuade the patient and family
B) straightforward for the family and patient
C) confusing for the family and patient
D) decided by the physician

Question 14

When death occurs in surgery, the surgeon and the anesthesia care provider must verify that brain death has occurred; this is called ___________ of death.

A) proclamation
B) certificate
C) announcement
D) determination

Question 15

Medical and supportive care provided to the dying patient is called __________ care.

A) premortem
B) comfort
C) dignity
D) palliative

Question 16

Effective and compassionate communication with the family and the patient is enhanced by understanding some of the more common problems families face. These not only include the _________effects of grief but can also be related to the patient's medical care, or to the practical aspects of finances and estate issues.

A) physical
B) physiological
C) psychological
D) pathological

Question 17

A structured response may be required to help health care workers cope with death. This may involve planned _______ periods, or spontaneous expressions of support and acknowledgment by individual team members.

A) vacation
B) reassignment
C) debriefing
D) distracting

Question 18

Assisted suicide is perceived by many as an intent to ______.

A) help
B) cure
C) harm
D) heal

Question 19

Support and care across different cultures is called _____________.

A) cultural competence
B) culture knowledge
C) culture acceptance
D) culture awareness

Question 20

The circumstances of the patient's death determine whether the coroner must investigate the death; this process includes mandatory autopsy, and such a case is called a(n) __________.

A) supervisor's case
B) administrator's case
C) medical staff case
D) coroner's case

Question 21

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
All sphincter muscles immediately lose tone

Question 22

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
Patients feel great anger and remorse that they did not heed warnings to change lifestyle habits they knew were harmful.

Question 23

Choose from the terms listed and match them with their most correct description.
a.Denial
b.Bargaining
c.Acceptance
"If I pray daily, maybe God will allow me to live."

Question 24

Tissues that are harvested from non-heart-beating cadavers include _________________.

A) cornea, blood vessels, heart valves, bone, and skin
B) lungs, kidneys, liver, and intestines
C) stomach, bladder, pancreas, gall bladder
D) kidneys, gall bladder, heart valves, bone

Question 25

A _____________ is one in which tissue perfusion can be maintained during and immediately after death to preserve the life of the tissue.

A) heart-beating cadaver
B) non-heart-beating cadaver
C) breathing cadaver
D) non-breathing cadaver

Question 26

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
Patients express anger; feelings of anger may be projected at family, self, health workers, or God.

Question 27

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
DNR or DNAR (do not attempt resuscitation)

Question 28

Choose from the terms listed and match them with their most correct description.
a.Denial
b.Bargaining
c.Acceptance
The idea that death is no longer a source of psychological conflict

Question 29

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
The patient may refuse treatment in order to fulfill the right to die.

Question 30

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
Rigor mortis

Question 31

Choose from the terms listed and match them with their most correct description.
a.Denial
b.Bargaining
c.Acceptance
Is a defense mechanism

Question 32

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
Areas of the body begin to collect fluid and the areas around the ears and cheeks may turn purple or red.

Question 33

Once the decision has been made for organ recovery, exacting clinical protocols are followed to ensure __________________.

A) there are no mistakes
B) the vitality of the organs
C) permission is not withdrawn
D) respect is given

Question 34

The order to not resuscitate is made official by signing a DNR (do not resuscitate) order, which is ___________________________________.

A) sent to the hospital attorney
B) charted in the patient's medical record
C) kept secret
D) shared only with the hospital administrator

Question 35

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
Living will

Question 36

Choose from the terms listed and match them with their most correct description. You may use the same answer more than once.
a.Stages of grief and dying
b.Natural changes in the body after death
c.Advanced directive
An inner attempt to bargain with God or another spiritual entity

Question 37

Health care workers often face personal conflict about the decisions made by their patients or the families of patients. They may not agree with the decisions, but they are obliged to ________________.

A) propose a different outcome
B) honor the decisions
C) change the mind of the patient
D) share an opinion