Deck 18: Dying and Death

Question 1

An advance directive should state both what one wants and what one does not want when conveying wishes about medical care.

Answer 1

True

Question 2

Cremation usually involves a grave dug into the soil or entombment in a mausoleum.

Answer 2

False

Question 3

Children usually gain an accurate understanding of the finality of death between the ages of 5 and 9.

Answer 3

True

Question 4

Many people seek to avoid any thought or mention of death.

Question 5

A mature understanding of death eliminates anxiety about it.

Question 6

Brain death is most reliably shown by a flat tracing on an electroencephalogram.

Question 7

Palliative care is a form of acute care.

Question 8

It is mandatory that all corpses be embalmed regardless of the type of disposition to be used.

Question 9

Giving terminally ill people a medication that will cause them to peacefully stop breathing is an example of passive euthanasia.

Question 10

Clinical death and cellular death are defined using the same criteria.

Question 11

Individuals that hold a mature understanding of death commonly hold ideas that have no scientific proof.

Question 12

Another name for a durable power of attorney for health care is a health care proxy.

Question 13

It is not unusual for a child to think of death as something that is reversible.

Question 14

Clinician-administered medical assistance in dying and active euthanasia are the same thing.

Question 15

Injecting lethal medications into a person who has no chance of recovery is a form of passive euthanasia.

Question 16

One goal of hospice care is to counsel family members after a patient's death.

Question 17

Avoidance or denial about death allows individuals to better acknowledge the inevitability of death.

Question 18

The practice of withholding treatment that could potentially sustain life is termed active euthanasia.

Question 19

If you decide to donate your organs after death, you should be sure to discuss this decision with your family.

Question 20

The two forms of advance directives are a living will and a heath care proxy.

Question 21

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

A) non-functionality.
B) irreversibility.
C) universality.
D) causality.

Question 22

One of the best ways to support a dying person is to listen.

Question 23

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

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

Question 24

Termination of metabolic processes is called _______________ death.

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

Question 25

The testator of a will is the

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

Question 26

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

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

Question 27

D'a de los Muertos is a Mexican holiday

A) celebrated in the spring.
B) commemorating children who have died.
C) reflecting the belief that the dead return to Earth as spirits once a year.
D) characterized by solemn events and traditions.

Question 28

Rejection is a major problem in transplants from both living and deceased organ donors.

Question 29

Brain death is most reliably shown by flat tracings on a(n)

A) electroencephalogram.
B) electrocardiogram.
C) echocardiograph.
D) CT scan.

Question 30

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

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

Question 31

The belief that humans survive in some form after death is

A) denial.
B) universality.
C) non-corporeal continuity.
D) non-functionality.

Question 32

Which of the following statements is FALSE regarding D'a de los Muertos?

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

Question 33

Making clear decisions about your estate and medical care is a component of a "good death."

Question 34

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) Once a will is established, it cannot be legally altered or changes.
C) Dying without having made a will can lead to unnecessary hardship for survivors.
D) 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.

Question 35

More than 60 percent of Canadians die

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

Question 36

Clinical death in humans is characterized by cessation of

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

Question 37

Society's unrealistic portrayal of death can be seen in

A) television and video games.
B) books.
C) theatrical productions.
D) athletic programs.

Question 38

Which of the following statements is FALSE regarding the predominant attitude in Canada toward death?

A) Many people seek to avoid any thought or mention of death.
B) Instead of facing death directly, people tend to amuse themselves with unrealistic portrayals on TV and movies.
C) Those who view death as a relief from pain may have a partial sense of welcoming death.
D) Many people view death as a positive experience in which to celebrate one's achievements.

Question 39

Most terminally ill patients experience Kübler-Ross's stages of dying in sequence.

Question 40

A basic task of planning for death that is important for everyone is

A) attending a church or other place of worship.
B) finding long-lost relatives.
C) planning for after-death concerns such as organ donation and memorial services.
D) reconciling with estranged family members and friends.

Question 41

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

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

Question 42

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

A) clinician-administered medical assistance in dying.
B) passive euthanasia.
C) involuntary euthanasia.
D) palliative care.

Question 43

Which of the following statements is FALSE regarding clinician-administered medical assistance in dying?

A) The physician or nurse practitioner provides and administers the lethal drugs.
B) It is illegal in Canada.
C) At the patient's explicit request, it allows a doctor to inject the patient with a fatal drug.
D) It is also known as medically assisted suicide.

Question 44

Which one of the following is a goal of hospice care?

A) to support the patient and family
B) to prolong life
C) to hasten death
D) to support the patient and family and to hasten death

Question 45

The most common method of body disposal in Canada is

A) cadaver donation to medical schools.
B) mummification.
C) burial or cremation.
D) medical harvesting.

Question 46

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

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

Question 47

Hospitals' palliative care units

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

Question 48

Active euthanasia is

A) withdrawing or withholding treatment.
B) a deliberate act intended to end another person's life.
C) illegal in Canada.
D) defined as "letting nature take its course."

Question 49

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) attorney.
B) substitute decision maker.
C) spouse.
D) parent.

Question 50

Psychiatrist Avery Weisman identifies the time during terminal illness when the patient both sustains hope and acknowledges reality as

A) coping.
B) middle knowledge.
C) bargaining.
D) acceptance.

Question 51

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

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

Question 52

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

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

Question 53

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

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

Question 54

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

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

Question 55

All the following are TRUE about a "green" burial, EXCEPT

A) bodies are wrapped only in cloth.
B) bodies are embalmed.
C) bodies are buried directly into the ground instead of using a vault.
D) bodies are not placed in a casket.

Question 56

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

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

Question 57

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

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

Question 58

Which of the following statements is FALSE regarding living wills?

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

Question 59

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) Jane Roe.
D) Dr. Jack Kevorkian.

Question 60

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

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

Question 61

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

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

Question 62

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

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

Question 63

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

A) You should offer the dying person opportunities to speak openly and honestly.
B) The most important thing is to actively engage the dying person in conversation.
C) You should be there for the dying person and his or her family.
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 64

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

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

Question 65

Providing social support to a grieving person helps a survivor

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

Question 66

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

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

Question 67

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

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

Question 68

Approximately what percentage of Canadians have made a will?

A) 25
B) 49
C) 75
D) 100

Question 69

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

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

Question 70

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

A) mature understanding of death.
B) non-corporeal continuity.
C) cellular continuity.
D) afterlife.

Question 71

According to standards published at Harvard, brain death involves all the following characteristics, EXCEPT:

A) lack of receptivity and response to internal stimuli.
B) absence of spontaneous muscular movement and spontaneous breathing.
C) absence of observable reflexes.
D) absence of brain activity.

Question 72

A testamentary letter should include which of the following information?

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

Question 73

The middle phase of grief is characterized by

A) numbness.
B) disorientation.
C) shock.
D) pain of separation.

Question 74

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

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

Question 75

What percentage of Canadians believe in life after death?

A) 24
B) 38
C) 50
D) 65

Question 76

An individual's estate includes which of the following?

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

Question 77

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

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

Question 78

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

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

Question 79

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

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

Question 80

People who cope best with life-threatening illness usually

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