Deck 18: Dying and Death

Question 1

A situation in which a harmful effects occurs as an unintended side effect of a beneficial action, such as when medication intended to control a patient's pain has the unintended result of causing the patient's death is:

A) physician-assisted suicide.
B) passive euthanasia.
C) active euthanasia.
D) double effect.

Answer 1

double effect.

Question 2

The process whereby a person actively copes with grief in adjusting to loss and integrating it into his or her life is:

A) bereavement.
B) grief.
C) mourning.
D) death response.

Answer 2

mourning.

Question 3

All of the following are stages of dying as defined by Kübler-Ross, EXCEPT

A) bargaining.
B) denial.
C) depression.
D) vulnerability.

Answer 3

vulnerability.

Question 4

The testator of a will is the

A) legal representative drawing up the will.
B) person making the will.
C) executor of the estate.
D) accumulated estate.

Question 5

A doctrine that states a harmful effect of treatment, even if it results in death, is permissible if the harm is not intended and occurs as a side effect of a beneficial action, is termed

A) active effect.
B) palliative effect.
C) unintended effect.
D) double effect.

Question 6

Which of the following is NOT one of the four vital signs?

A) skin colour
B) pulse
C) blood pressure
D) temperature

Question 7

Which of the following statements is FALSE regarding living wills?

A) They require physician certification that a terminal condition exists.
B) They can be written to cover many different types of medical contingencies.
C) They differ in format from state to state.
D) They express wishes regarding medical care in case of incapacitation.

Question 8

Voluntary active euthanasia is illegal throughout North America, but LEGAL in

A) France.
B) Belgium.
C) Sweden.
D) England.

Question 9

Each of the following are components of a "good death," EXCEPT

A) reliving past disappointments.
B) the opportunity to review one's life.
C) affirmation of the whole person.
D) symptom management.

Question 10

All of the following are recommended strategies for dealing with grief, EXCEPT:

A) react to grief by accepting and expressing it.
B) recognize and acknowledge the loss.
C) reinvest in life.
D) focus on the future while removing the past.

Question 11

One method of disposition of a corpse is to subject the body to intense heat, a process commonly known as

A) entombment.
B) cremation.
C) incarceration.
D) burial.

Question 12

Approximately what percentage of Canadians have made a will?

A) 100
B) 75
C) 56
D) 25

Question 13

A child who has a mature understanding of death comprehends all of the following characteristics, EXCEPT:

A) death is troubling.
B) death is final.
C) death is universal.
D) death is inevitable.

Question 14

Those living with a life-threatening illness generally experience which of the following?

A) overwhelming feelings of loss, concerns about medical care, and loss of income
B) concerns about medical care
C) loss of income
D) overwhelming feelings of loss

Question 15

Hospice care generally is described as:

A) team-oriented.
B) authoritarian.
C) individual-oriented.
D) concentric.

Question 16

All of the following are components of a "good death," EXCEPT:

A) opportunity to review life.
B) pain and symptom management.
C) contributing to others.
D) collaborative decision making.

Question 17

The objective event of loss is:

A) bereavement.
B) grief.
C) mourning.
D) death response.

Question 18

What day does Dia de los Muertos take place?

A) June 30
B) October 31
C) February 28
D) December 31

Question 19

When a physician administers medication to relieve severe pain in a terminally ill patient, and the medication also hastens the patient's death, the situation is called

A) physician-assisted suicide.
B) active euthanasia.
C) passive euthanasia.
D) double effect.

Question 20

Helping a patient hasten death by knowingly providing lethal drugs or other interventions is called

A) palliative care.
B) active euthanasia.
C) passive euthanasia.
D) physician-assisted suicide.

Question 21

Which of the following statements is TRUE regarding a will?

A) It is a basic task everyone should attend to when planning for death.
B) It is a basic task everyone should attend to when planning for death, and dying without having made a will can lead to unnecessary hardship for survivors.
C) Dying without having made a will can lead to unnecessary hardship for survivors.
D) Once a will is established, it cannot be legally altered or changes.

Question 22

A proxy directive is also known as:

A) advance directive.
B) durable power of attorney for health care.
C) substitute decision maker.
D) instructional directive.

Question 23

An individual's estate includes which of the following?

A) money, property, and possessions
B) money
C) property
D) possessions

Question 24

What percentage of Canadians believe in life after death?

A) 42
B) 24
C) 65
D) 57

Question 25

Approximately how many people in Canada are on the waiting list for an organ transplant?

A) 10,000
B) 12,500
C) 4500
D) 1000

Question 26

Yellow marigolds are known as:

A) "flowers of celebration."
B) "flowers of peace."
C) "flowers of death."
D) "flowers of sun."

Question 27

The process of removing blood and other fluids and replacing them with chemicals to temporarily retard deterioration of a corpse is termed

A) encoating.
B) mummification.
C) entombing.
D) embalming.

Question 28

Approximately 70 percent of Canadians die

A) in a nursing home.
B) in a hospital.
C) at home.
D) in a friend's or loved one's home.

Question 29

People who cope best with life-threatening illness usually

A) strive to inform themselves about their illness.
B) are optimistic.
C) exhibit a fighting spirit.
D) are optimistic, exhibit a fighting spirit, and strive to inform themselves about their illness.

Question 30

When someone dies without a will, the province or territory distributes property according to

A) the wishes of the deceased, if known.
B) provincial/territorial rules.
C) the wishes of the family.
D) decisions by a court-appointed administrator.

Question 31

Which of the following is known as the "fifth vital sign"?

A) language comprehension
B) pain
C) sight
D) hearing

Question 32

Passive euthanasia is also referred to as:

A) killing.
B) merciless.
C) allowing to die.
D) withholding treatment.

Question 33

Which one of the following is NOT provided by hospice programs?

A) It provides experimental medical treatments.
B) It provides hospital-like services if they are required.
C) It provides support for dying at home if that is the patient's wish.
D) It provides emotional support for the survivors.

Question 34

The term that means "having made no legal will" is

A) intestate.
B) surrogacy.
C) testator.
D) probate.

Question 35

Clinical death in humans is characterized by the absence of

A) circulation.
B) heartbeat.
C) heartbeat, respiration, and circulation.
D) respiration.

Question 36

Hospitals' palliative care units

A) focus on patient recovery.
B) encourage experimental medical treatments.
C) focus on controlling pain and relieving suffering.
D) provide short-term intensive treatment.

Question 37

Identifying, developing, or reaffirming sources of meaning and fostering hope is characteristic of Corr's dimension of coping.

A) spiritual
B) psychological
C) physical
D) social

Question 38

Which dimension of coping is defined as maximizing a sense of security, self-worth, autonomy, and richness of living?

A) physical
B) psychological
C) social
D) spiritual

Question 39

A statement made by a competent person about choices for medical treatment should he or she become unable to make such decisions or communicate them at some time in the future is called a(n):

A) preparatory directive.
B) letter of attestation.
C) statement of intent.
D) advance directive.

Question 40

If a physician were to administer medication, at the request of the patient, to cause death, this is called:

A) physician-assisted suicide.
B) double effect.
C) passive euthanasia.
D) active euthanasia.

Question 41

A testamentary letter should include which of the following information?

A) location of documents and keys
B) bank account information
C) location of documents and keys, bank account and credit card details
D) credit card details

Question 42

When supportive medical technologies are in use, the concept of is used to determine if someone is alive or dead.

A) brain death
B) cessation of the flow of bodily fluids
C) cellular death
D) clinical death

Question 43

A condition of profound unconsciousness with no reasonable hope for improvement is known as

A) a coma.
B) brain death.
C) clinical death.
D) a persistent vegetative state.

Question 44

A comprehensive program that offers a set of services designed to support terminally ill patients and their families is termed

A) active euthanasia.
B) passive euthanasia.
C) hospice.
D) an advance medical directive.

Question 45

Probably the most helpful ways a bereaved person can cope with the intense feelings of grief is to

A) get involved in activities that provide distraction from thinking about the death.
B) use denial to filter the shock of the death.
C) become isolated.
D) express his or her feelings.

Question 46

A person appointed by a patient to make medical decisions for the patient if the patient is unable to do so is a(n)

A) spouse.
B) surrogate.
C) parent.
D) attorney.

Question 47

Themes identified by researchers as components of a "good death" include all of the following, EXCEPT

A) pain management.
B) reliving past disappointments.
C) contributing to others.
D) preparation for death.

Question 48

Worden's tasks of mourning include all of the following, EXCEPT

A) accepting reality.
B) establishing a memorial for the deceased.
C) adjusting to a changed environment.
D) working through the pain.

Question 49

The way in which death is defined has potential legal and social consequences including all of the following, EXCEPT

A) inheritance.
B) taxation.
C) religious persecution.
D) criminal prosecution.

Question 50

Amyotrophic lateral sclerosis (ALS) is also known as:

A) diabetes.
B) pertussis.
C) multiple sclerosis.
D) Lou Gehrig's disease.

Question 51

A person's life story and how he/she deals with a life threatening illness is influenced by all of the following, EXCEPT

A) available supportive resources.
B) his/her income.
C) specific disease and its course.
D) his or her personality.

Question 52

Which of the following statements is FALSE regarding physician-assisted suicide?

A) It is legal in Canada.
B) At the patient's explicit request, it allows a doctor to inject the patient with a fatal drug.
C) It is legal in some U.S. states.
D) The physician provides and administers the lethal drugs.

Question 53

Society's unrealistic picture of death can be seen in

A) television and video games.
B) theatrical productions.
C) high school textbooks.
D) athletic programs.

Question 54

The development of primary dimensions for coping with dying is attributed to

A) Hans Selye.
B) Charles Corr.
C) Jack Kevorkian.
D) Kübler-Ross.

Question 55

Basic tasks in planning for death should include all of the following, EXCEPT

A) anticipating medical needs.
B) considering organ donation.
C) making a will.
D) confronting people you dislike.

Question 56

A component of a mature understanding of death in which all living things eventually die is known as

A) causality.
B) nonfunctionality.
C) irreversibility.
D) universality.

Question 57

Termination of metabolic processes is called death.

A) clinical
B) cellular
C) biological
D) brain

Question 58

The belief that humans survive in some form after death is

A) universality.
B) noncorporeal continuity.
C) nonfunctionality.
D) denial.

Question 59

The Harvard criteria for brain death require additional testing after hours have elapsed since the first tests.

A) 24
B) 48
C) 12
D) There are no additional tests.

Question 60

Physically, grief may involve which of the following?

A) loss of appetite.
B) insomnia.
C) frequent sighing.
D) loss of appetite, insomnia, and frequent sighing.

Question 61

The dimension of coping with dying that encompasses satisfying bodily needs, according to Corr, is

A) physical.
B) spiritual.
C) social.
D) psychological.

Question 62

Providing social support to a grieving person helps a survivor

A) make judgments about funeral arrangements.
B) move forward and face the world with confidence.
C) acknowledge the bad times as well as the good.
D) determine his or her own need for professional help.

Question 63

In which country is physician-assisted suicide legal?

A) Canada
B) United States
C) Netherlands
D) China

Question 64

A persistent vegetative state is characterized by all of the following, EXCEPT

A) lacking any sign of normal reflexes
B) profound unconsciousness
C) unresponsiveness to external stimuli
D) concentric uncoordinated reflexes

Question 65

Those with PTSD may experience all of the following, EXCEPT:

A) impaired intimate relationships.
B) startle easily.
C) difficulty concentrating.
D) enhanced social life.

Question 66

The "right to die" issue came to national attention in the early 1990s with the landmark case involving

A) Nancy Cruzan.
B) Sue Rodriguez.
C) Dr. Jack Kevorkian.
D) Jane Roe.

Question 67

Near the time of death which of the following may occur?

A) increased appetite and thirst
B) red blotches (mottling) on the skin
C) warm extremities
D) death rattle

Question 68

The duration and a nature of a person's experience in approaching death as influenced by the underlying cause of dying is:

A) trajectory of dying.
B) chronic phase.
C) palliative condition.
D) terminal phase.

Question 69

Which dimension of coping is defined as satisfying bodily needs and minimizing physical distress?

A) physical
B) psychological
C) social
D) spiritual

Question 70

The intentional termination of life at the patient's request by someone other than the patient is termed

A) voluntary euthanasia.
B) involuntary euthanasia.
C) double euthanasia.
D) passive euthanasia.

Question 71

Involuntary euthanasia refers to

A) ending of a patient's life by a medical practitioner at the request of the patient's family.
B) ending of a patient's life by a medical practitioner without the patient's consent.
C) the ending of a patient's life by the patient's POA for personal care.
D) the patient's choice to end life.

Question 72

Which of the following statements is FALSE regarding Dia de los Muertos?

A) It is a holiday that coincides with All Souls' Day.
B) It is a two-day holiday when dead children and adults are honored.
C) It is a sad day of quiet mourning for the dead.
D) It is a holiday when graves are decorated with bright yellow flowers.

Question 73

Reactions to grief between men and women can be summarized as:

A) men and women experience grief symptoms equally.
B) men may be more vulnerable to distressing symptoms of grief.
C) women may be more vulnerable to distressing symptoms of grief.
D) men and women experience different symptoms but for the same duration.

Question 74

The notion that human beings survive in some form after the death of the physical body is called:

A) noncorporeal continuity.
B) cellular continuity.
C) mature understanding of death.
D) afterlife.

Question 75

Approximately what percentage of corpses are cremated in Canada?

A) 72
B) 39
C) 66
D) 26

Question 76

Which of the following statements is TRUE regarding supporting a dying person?

A) You should be there for the dying person and his or her family.
B) You should offer the dying person opportunities to speak openly and honestly.
C) The most important thing is to actively engage the dying person in conversation.
D) You should offer the dying person opportunities to speak openly and honestly, and you should be there for the dying person and his or her family.

Question 77

During one's last moments, all of the following may be comforting to the individual, EXCEPT

A) loud music
B) covering him or her with blankets
C) holding hands
D) repositioning the patient

Question 78

Middle knowledge involves all of the following, EXCEPT:

A) setting goals and striving to reach them.
B) accepting death.
C) engaging in fruitful interactions with the environment.
D) maintaining sense of self-worth.

Question 79

According to Colin Murray Parkes, which of the following is NOT one of the three main influences on a person's course of grieving?

A) Urge to look back, cry, and search for what is lost.
B) Urge to look forward, explore the world that emerges out of loss.
C) Avoiding the pain of grief in some instances and confronting it during others.
D) Social and cultural pressures that influence how the first two urges are inhibited or expressed.

Question 80

When planning for a funeral all of the following are important considerations, EXCEPT:

A) ask for a price list.
B) plan ahead.
C) buy goods and services that will be memorable.
D) choose a cemetery carefully.