Deck 18: Preparing for Aging Death and Dying

Question 1

Jean's hearing has diminished over the years. She probably has the most difficulty hearing

A) conversation at the dinner table.
B) the sermon at church.
C) the cheerleaders' cheers at the basketball game.
D) a conversation over the telephone.

Answer 1

the cheerleaders' cheers at the basketball game.

Question 2

All of the following individuals would be at an increased risk for osteoporosis EXCEPT a(n)

A) smoker.
B) obese man.
C) alcoholic.
D) petite, small-boned woman.

Answer 2

obese man.

Question 3

A degenerative bone disease characterized by porous bones is

A) fibromyalgia.
B) rheumatoid arthritis.
C) osteoporosis.
D) osteoarthritis.

Answer 3

osteoporosis.

Question 4

After his stroke at the age of 80, Austin now has urinary incontinence, meaning he has

A) kidney failure.
B) reduced control or no control over urination.
C) slowing of the urinary stream flow.
D) dietary phosphorus that interfered with urination.

Question 5

Which of the following best describes facial changes related to aging?

A) The forehead becomes narrower.
B) The earlobes shrink as a result of redistributed fatty deposits.
C) The nose becomes wider and longer.
D) The nose becomes narrower and shorter.

Question 6

All of the following changes occur to the heart and lungs as a result of aging EXCEPT

A) resting heart rate decreases.
B) stroke volume increases.
C) heart muscle deteriorates.
D) vital capacity decreases.

Question 7

Which of the following is the LEAST likely effect of the baby boomer generation aging?

A) It could overload and potentially bankrupt Social Security revenues.
B) It could create disparities in safe and affordable long-term care options.
C) It could challenge the ability of the healthcare system to meet long-term needs.
D) It will have no impact on the economy, housing market, healthcare system, or Social Security.

Question 8

Which of the following statements is accurate about urinary incontinence?

A) Incontinence is an inevitable part of aging.
B) Most forms of incontinence are difficult to treat.
C) Incontinence occurs in older men more frequently than in older women.
D) Incontinence can lead to other problems such as tissue irritation and infections.

Question 9

Lawrence is frustrated because his vision is no longer sharp enough to do crossword puzzles. He probably has

A) cataracts.
B) glaucoma.
C) macular degeneration.
D) retinitis.

Question 10

The idea that jogging will cause an older person's bones and joints to degenerate more quickly is an example of which theory of aging?

A) Autoimmune
B) Cellular
C) Genetic mutation
D) Wear-and-tear

Question 11

Successful aging involves all of the following EXCEPT

A) avoiding debilitating diseases and disability by eating a healthy diet, exercising, and not smoking.
B) maintaining cognitive function and engaging in mentally challenging tasks.
C) refusing to accept physical, emotional, and social changes associated with growing older.
D) participating in meaningful activities, including social, family, and volunteer activities.

Question 12

Cathy, age 45, has developed a few wrinkles on her forehead and "crow's feet" around her eyes. This is primarily due to

A) thinning of the skin.
B) excess pigment accumulation under the skin.
C) the effects of facial expressions over time.
D) spending too much time in the sun.

Question 13

Osteoporosis would most likely result in

A) a wrist fracture as the result of a fall.
B) arthritis in the lower back and knees.
C) redistribution of body fat in the trunk region.
D) a high bone density.

Question 14

Your grandfather is having blurred vision in his right eye due to clouding of the lens associated with aging. To improve his vision, he would need which type of surgery?

A) Cataract
B) Retinal
C) Glaucoma
D) Macular regeneration

Question 15

People 65 and older make up what percentage of the U.S. population?

A) More than 5 percent
B) More than 12 percent
C) About 20 percent
D) More than 24 percent

Question 16

Amy's Uncle Joe has developed kidney failure that his doctor says is due to the kidney cells being at the end of their reproductive cycle. This is an example of which theory of aging?

A) Autoimmune
B) Cellular
C) Genetic mutation
D) Wear-and-tear

Question 17

Katie is a researcher who studies factors that influence aging and how individuals cope with the aging process. Katie works in the field of

A) seniorology.
B) gerontology.
C) geriatrics.
D) disease prevention.

Question 18

Justin's Aunt Martha was told by her doctor that she has abnormal cells in her left lung. Since she is a nonsmoker and has had minimal exposure to carcinogens, her doctor believes that her condition is related to which theory of aging?

A) Autoimmune
B) Cellular
C) Genetic mutation
D) Wear-and-tear

Question 19

Miles is 75 and he has been diagnosed with glaucoma. What must he do to keep this problem from worsening?

A) Take daily showers to prevent infection
B) Use special eye drops in his eyes to relieve pressure in the eye
C) Take prescription medication to improve his thyroid function
D) Inject insulin twice a day to keep his pancreas functioning properly

Question 20

Jessica's grandmother has frequent urinary tract infections, which her doctor attributes to an inability of her body to recognize and fight the bacteria that causes it. This is an example of which theory of aging?

A) Autoimmune
B) Cellular
C) Genetic mutation
D) Wear-and-tear

Question 21

Which of the following is true about the elderly and alcohol abuse?

A) Most older adults who consume alcohol are social drinkers.
B) The rate of alcoholism is higher in the elderly as compared to younger generations.
C) Elderly women are more likely to abuse alcohol than their male counterparts.
D) More than 90 percent of older men drink at least occasionally.

Question 22

Nutrients considered especially important for healthy aging include

A) calcium, vitamin D, and protein.
B) sodium and magnesium.
C) vitamins A, C, and E.
D) protein and fats.

Question 23

Progressive brain impairments that interfere with memory and normal intellectual functioning are

A) Alzheimer's disease.
B) dementias.
C) brain tumors.
D) Parkinson's disease.

Question 24

Mattie was diagnosed with Alzheimer's disease at the age of 67. If she is like the average Alzheimer's disease patient, she will probably live to about

A) 69.
B) 73.
C) 82.
D) 87.

Question 25

All of the following are ways to help a grieving friend EXCEPT

A) saying you are sorry about their loss and about their pain.
B) being available to listen and help with what is necessary.
C) avoiding talking about the person who died or mentioning their name.
D) allowing them to express as much grief and as many emotions as they are feeling.

Question 26

All of the following sexual changes occur in aging men EXCEPT

A) diminished ability to obtain an erection.
B) longer refractory period between orgasms.
C) extended duration of orgasm.
D) decline in the angle of the erection.

Question 27

One of the most common forms of progressive dementia that interferes with memory and normal intellectual functioning is

A) Alzheimer's disease.
B) Hodgkin's disease.
C) Lou Gehrig's disease.
D) Parkinson's disease.

Question 28

Maintaining healthy relationships, improving fitness, and taking time for spiritual pursuits are strategies for

A) a frugal retirement.
B) healthy aging.
C) getting the best health insurance to supplement Medicare.
D) achieving independence.

Question 29

Monica was president of the local chapter of Future Business Leaders of America during her senior year. After Monica was diagnosed with an aggressive form of lymphoma, her classmates stopped talking about their career plans in front of her. Monica was experiencing

A) bereavement.
B) depression.
C) social death.
D) denial.

Question 30

Your 80-year-old aunt lives in an independent-living retirement center. She still has a very sharp memory. All of the following probably apply to her EXCEPT

A) she has exercised regularly over the years.
B) she remains physically active even now.
C) she has never exercised and prefers to spend all of her time alone.
D) she keeps her mind active by reading and playing the piano.

Question 31

Which of the following statements about Alzheimer's disease is NOT true?

A) Nerve cells in the brain stop communicating with each other.
B) If caught early, its progression can be stopped.
C) It is a disease in which brain cells die.
D) It affects personality as well as memory.

Question 32

Which of the following is NOT one of the psychological stages of dying according to the Kübler-Ross model?

A) Denial
B) Depression
C) Resistance
D) Bargaining.

Question 33

A bone condition that is a major cause of disability in the United States is

A) fibromyalgia.
B) rheumatoid arthritis.
C) osteoporosis.
D) osteoarthritis.

Question 34

Too often, drug interactions in elderly people are first diagnosed as which condition before the underlying cause is found?

A) Addiction
B) Diabetes
C) Dementia
D) Chronic fatigue syndrome

Question 35

Which of the following statements is NOT accurate concerning the drug use of the elderly?

A) Some elderly people use illicit drugs to avoid the cost of conventional medical treatment.
B) Some elderly are likely to overuse prescription drugs.
C) The majority of individuals over the age of 60 take at least one prescription medication.
D) More than a third of individuals age 65 and older take 5 or more prescription drugs.

Question 36

What percentage of American couples between the ages of 55 and 70 engage in sexual activity?

A) 30%
B) 50%
C) 60%
D) 75%

Question 37

Phillip was involved in a car crash and placed on a respirator. After his family had the respirator removed, he was nonresponsive, with no reflexes and a flat EEG. These vital signs indicate Phillip has experienced

A) brain death.
B) hyperthermic death.
C) myocardial death.
D) hypothermic death.

Question 38

The cultural practice of waiting a year after the death of a spouse to begin dating is an example of

A) social death.
B) expressed grief.
C) mourning.
D) thanatology.

Question 39

The loss or deprivation experienced by a person when a loved one dies is known as

A) guilt.
B) bereavement.
C) coping.
D) acceptance.

Question 40

Julia is 74 years old. Over the last several years, she has begun salting her food more than she used to. The reason for this is that

A) her sense of smell has become stronger.
B) she has lost taste buds.
C) her taste buds have atrophied.
D) she has lost taste buds and the ones she has left have atrophied.

Question 41

A document that stipulates a person's wishes about medical care that is used to make treatment decisions when the individual becomes unable to communicate his or her preferences is a(n)

A) advance notice.
B) advance directive.
C) health care power of attorney.
D) trust.

Question 42

Withholding life-prolonging treatments and allowing a terminally ill patient to die naturally is

A) palliative care.
B) active euthanasia.
C) passive euthanasia.
D) rational suicide.

Question 43

Which stage of the Kübler-Ross model is a person in who has an overriding sense of doom and worthlessness?

A) Depression
B) Guilt
C) Denial
D) Anger

Question 44

The decline of the body's vital functions that results in death is

A) dementia.
B) impairment.
C) disease.
D) dying.

Question 45

Henry was killed in an automobile accident. After his death, his family discovered that he had no will. Henry

A) was intestate.
B) had no last wishes.
C) was without an advanced directive.
D) had a power of attorney.

Question 46

Exercise throughout life can prevent much of the decline in heart and lung function typically seen with aging.

Question 47

Which stage of the Kübler-Ross model is a person who intellectually knows that he or she must face death but is emotionally stuck in a state of disbelief?

A) Anger
B) Acceptance
C) Denial
D) Bargaining

Question 48

Menopause may make sexual activity less pleasurable for women.

Question 49

Funeral rituals

A) are a relatively recent phenomenon in Western societies.
B) are not useful in helping survivors cope with their loss.
C) always include a viewing of the body of the deceased.
D) are found in all cultures.

Question 50

Many older people engage in regular sexual activity.

Question 51

An emotional reaction to a significant loss is

A) depression.
B) bereavement.
C) mourning.
D) grief.

Question 52

Which stage of the Kübler-Ross model is a person in who is weak and tired and has arrived at a place of being ready for death?

A) Anger
B) Acceptance
C) Denial
D) Bargaining

Question 53

The permanent cessation of all of the body's vital functions is the definition of

A) euthanasia.
B) suicide.
C) death.
D) dying.

Question 54

The study of death and dying is

A) gerontology.
B) thanatology.
C) theology.
D) anthropology.

Question 55

Most older people end up living in a nursing home.

Question 56

Care that focuses on relieving the pain and symptoms of a serious illness to improve quality of life for patients and families is

A) palliative care.
B) skilled nursing care.
C) grief counseling.
D) home care.

Question 57

Hospice care

A) provides care for a terminally ill patient and his or her family.
B) is based on the patient's or family's ability to pay for the care.
C) lacks the counselors and clergy that a hospital would have on staff.
D) is only provided in a nursing home setting.

Question 58

Which stage of the Kübler-Ross model is a person in who attempts to negotiate with a higher power to remain alive?

A) Anger
B) Acceptance
C) Denial
D) Bargaining

Question 59

Which stage of the Kübler-Ross model is a person in who becomes enraged about having to face death?

A) Anger
B) Acceptance
C) Denial
D) Bargaining

Question 60

The genetic mutation theory attributes aging to the decline of the body's immunological system.

Question 61

Gerontology explores the influences on aging and the ways in which people cope with and adapt to this process.

Question 62

To complete the grief work process, a person first must set a time limit for each of the stages to be completed.

Question 63

Explain how the growing population of elderly will affect society in the future.

Question 64

Describe four characteristics of people who have aged successfully.

Question 65

According to Worden's model, the grief work process includes four developmental tasks that a person must complete to cope with the situation and move on with his or her life.

Question 66

Which of a person's wishes should be included in an advance directive and what steps should be taken to ensure that these wishes are carried out?

Question 67

Disenfranchised grief can be felt by a woman who miscarries early in her pregnancy.

Question 68

Thanatology is the study of life after death.

Question 69

Alzheimer's disease is a form of dementia.

Question 70

The life expectancy of a child born in 2011 is 20 years longer than that of a child born in 1900.

Question 71

Anger is a normal part of the grief process.

Question 72

Explain the phenomenon of aging gracefully.

Question 73

Describe eight responses that can be part of the typical grief process. Which of these eight responses are most relevant in healthy grieving as compared to unhealthy grieving?