Deck 7: Facing Death: Living With Life-Threatening Illness

Question 1

Which of the following statements is an example of the open awareness context of family interactions in response to a life-threatening illness

A)Death is acknowledged and discussed.
B)Both the patient and others act as if the patient will recover.
C)A dying person tests family members in order to elicit information.
D)Not telling the terminally ill patient that he or she is likely to die, but being open with the staff.

Answer 1

A

Question 2

Corr's primary dimensions in coping with dying are physical, psychological, spiritual, and

A)religious.
B)autonomy.
C)hope.
D)social.

Answer 2

D

Question 3

According to Kubler-Ross, all of the following are associated with a life-threatening illness EXCEPT

A)depression.
B)denial.
C)belief.
D)acceptance.

Answer 3

C

Question 4

A biopsy is BEST defined as

A)a partial autopsy.
B)cancer testing on laboratory animals.
C)the surgical removal of a small amount of tissue for diagnosis.
D)a twofold process for ending life.

Question 5

Mutual pretense, as a way of coping with painful circumstances such as a terminal illness,

A)is never a truly effective means of coping.
B)can be a useful short-term strategy for coping with a painful situation.
C)rarely occurs among family members.
D)will not be carried on to the end.

Question 6

What is the aim of meaning-based coping

A)To manage the problem that is causing distress
B)To regulate the levels of distress
C)To maintain a person's sense of positive well-being
D)To take an active role in determining treatment options

Question 7

How many stages are associated with the model of coping with life-threatening illness presented by Elisabeth Kübler-Ross

A)Three
B)Four
C)Five
D)Six

Question 8

Which of the following terms BEST describes the process of a person who questions, "Am I responsible for bringing this illness on myself "

A)Dying trajectory
B)Magical thinking
C)Reactive thinking
D)Physiological guilt

Question 9

According to Avery Weisman, coping with life threatening illness involves tasks of maintaining a sense of optimism and hope and confronting the problem and

A)revising one's plans as necessary.
B)attempting to strike a deal with fate or with God.
C)writing a family love letter to complete unfinished business.
D)retreating and conserving energy.

Question 10

Metastasis is BEST defined as

A)the contracting of a contagious disease.
B)fear of dying.
C)research done on various types of cancerous tumors.
D)the spreading of cancer to various parts of your body.

Question 11

The real estate wanted advertisement in the text is used to illustrate which of the following

A)Desires to accomplish plans that previously had been put off to be done in the future
B)The denial stage of coping with a life-threatening illness
C)A dying persons attempt to "get away from it all"
D)Preparing for death and saying goodbye

Question 12

What current illness symbolizes the worst fears about dying

A)Black Plague
B)AIDS
C)Cancer
D)Chronic liver failure

Question 13

According to Avery Weisman, the process of coping with a terminal illness can be divided into how many interrelated tasks

A)Two
B)Three
C)Four
D)Five

Question 14

In Kenneth Doka's "Tasks in Coping with Life-threatening Illness," which phase is characterized by living with the disease and managing symptoms and side effects

A)Terminal
B)Acute
C)Chronic
D)Psychological

Question 15

Which of the following are the three major psychological and behavioral patterns that individuals use in coping with the threat of death as identified by Therese Rando
1)Retreat and conservation of energy
2)Attack and evaluate the threat
3)Attempting to master or control the threat of death
4)Exclusion from the threat of death

A)1, 2, and 3
B)1, 2, and 4
C)1, 3, and 4
D)2, 3, and 4

Question 16

What is the oldest effective form of cancer therapy

A)Radiation
B)Chemotherapy
C)Surgery
D)Ethnomedicine

Question 17

Cancer symbolizes the

A)number ten cause of death in America.
B)worst fears of our age.
C)disease for passive-type people.
D)status of a fatal disease.

Question 18

According to Glaser and Strauss, which of the following communication styles are used by families when a family member is diagnosed with a life-threatening illness
1)Closed awareness
2)Open awareness
3)Mutual pretense
4)Open pretense

A)1, 2, and 3
B)1, 2, and 4
C)1, 3, and 4
D)2, 3, and 4

Question 19

The spreading of cancer to various parts of the body is known as

A)cellular cancer.
B)metastasis.
C)osmosis.
D)transference regeneration.

Question 20

Which statement best reflects the closed awareness context of family interactions in response to a life-threatening illness

A)Non-verification of the illness, although the patient is aware that his or her prognosis may involve death.
B)The dying person is not aware of his or her impending death although others may know about it.
C)Participants sidestep direct communication about the patient's condition.
D)The situation is acknowledged by all parties.

Question 21

Side effects experienced by patients receiving chemotherapy can include all of the following EXCEPT

A)nausea and digestive problems.
B)loss of hair.
C)cyanotic lymph nodes.
D)mouth sores.

Question 22

What term do Shupe and Hadden use to identify varied therapies such as "faith healing, supernatural healing, and folk healing "

A)Cross-cultural healing
B)Symbolic healing
C)Innovative healing
D)Body work

Question 23

A psychotherapeutic technique used in Japan to assist cancer patients in finding meaning and living life to the fullest is known as

A)mai lai rioto.
B)ikigai ryoho.
C)shibata.
D)ayurveda.

Question 24

Bioenergetics, homeopathic medicine, and yoga are what form of cancer treatment option

A)Complementary and alternative therapies
B)Bio-medicine
C)Naturopathic
D)Not considered valid therapies in the U.S.

Question 25

Which of the following statements regarding pain is NOT true

A)Responses to pain are culturally shaped.
B)Pain cannot be directly measured.
C)Patients with severe pain often obtain euphoric sensations from drugs.
D)Morphine works effectively to manage cancer pain.

Question 26

Methods of treatment that the medical establishment considers unproved or potentially harmful are called

A)curanderismo.
B)radiation therapies.
C)unorthodox therapies.
D)complementary therapies.

Question 27

The therapies included under complementary and alternative medicine are sometime referred to as

A)integrative medicine.
B)twenty-first century medicine.
C)voodoo.
D)non-standard practice medicine.

Question 28

What is now viewed as a "vital sign" that should be considered along with temperature, pulse, respiration and blood pressure

A)Pain
B)Spirituality
C)Hopefulness
D)Attitude

Question 29

What is visualization

A)The patient imagines what the afterlife will be like.
B)The patient imagines the therapeutic agent inside the body helping to restore well-being.
C)It is a meeting of terminally ill patients gathered to discuss how their families will deal with their deaths.
D)Through the integration of emotions and cognitions, patients bring about changes in their families' perceptions about death and the afterlife.

Question 30

What is ethnomedicine

A)Music and art therapy
B)Prayer and mental healing
C)Bioenergetics and meditation
D)Conventional biomedicine and folk beliefs

Question 31

Which of the following statements about pain is true

A)Pain can be directly measured.
B)Responses to pain are culturally shaped.
C)Recent therapies completely eliminate pain in terminal illness.
D)Morphine is never administered to patients as a way of managing pain.

Question 32

What is a critical first step in accessing and managing pain

A)Interviewing for a possibility of addiction
B)Directly observing and measuring the pain
C)Believing that the pain is real
D)Acknowledging that pain and suffering are the same

Question 33

According to Yvette Colon of the American Pain Foundation, what is a critical first step in assessing and managing pain

A)Asking family members
B)Taking a thorough medical history
C)Belief that pain is real
D)Observing facial expressions and non-verbal cues for evidence of pain

Question 34

What is the oldest and most common form of cancer therapy

A)Radiation
B)Chemotherapy
C)CAM therapy
D)Surgery

Question 35

Which is the most common physical symptom in terminally ill patients

A)Depression
B)Fear
C)Pain
D)Anger

Question 36

What is now viewed as the "fifth vital sign "

A)Pain
B)Heart rate
C)Attitude
D)Family support

Question 37

Which of the following BEST describes a lingering dying trajectory

A)A person dies in a car accident.
B)A patient dies from a progressive chronic illness.
C)A person dies from a massive heart attack.
D)A patient dies from an cerebral aneurysm.

Question 38

Chronic pain usually persists longer than

A)one to two weeks.
B)two to four weeks.
C)one to three months.
D)three to six months.

Question 39

What is ikigai ryoho

A)An ancient belief that if death is faced positively, a favorable afterlife will follow
B)A modern Japanese treatment for AIDS
C)A therapy to help a patient's family deal with the death of a loved one
D)A psychotherapy that helps patients live fully and meaningfully

Question 40

What is the positive response to a treatment that a person believes to be an effective therapy

A)Ethnomedicine
B)Existential plight
C)Adjuvant therapy
D)Placebo effect

Question 41

Chemotherapy involves the use of toxic drugs.

Question 42

"Magical thinking" is a great way for the dying patient to fantasize about the afterlife.

Question 43

In her essay titled "The Eyes of a Dying Man", Rando suggests that being with a dying person at the moment of death is transformative.

Question 44

A statement from the federal Food and Drug Administration (FDA) states there are now hundreds of sound scientific studies to support the medical use of marijuana.

Question 45

The study of medicinal plants has become unimportant to pharmacology in the twenty-first century.

Question 46

What did Eric Cassell write about the social role of the dying patient

A)The death of the body is a physical phenomenon whereas the passing of the person is nonphysical.
B)Illness is accompanied by a social role and responsibility.
C)The social role of the dying patient is the same as the social role of other patients.
D)The social role of the dying patient includes maintaining the illusion of health.

Question 47

The Kubler-Ross model of coping has no bearing today on understanding how people experience the prospect of dying.

Question 48

Chronic pain may affect sleep and appetite but doesn't result in lost sexual interest.

Question 49

Often, the only task that matters in being with someone who is dying is to

A)offer food and drink.
B)make gentle attempts to keep the person quiet and at rest.
C)steer conversations away from the afterlife.
D)stay close and do nothing.
True / False Questions

Question 50

People near the end of life in the active dying stage are often more comfortable without foods or liquids.

Question 51

According to Rando, coping is limited to psychological, cognitive, and emotional processes.

Question 52

Palliation of symptoms using surgery may be used to improve the quality of life.

Question 53

Over 50 percent of the world's population has adequate access to opioid medications for patient pain control.

Question 54

The most useful agents for the treatment of pain associated with advanced disease are opioid analgesics.

Question 55

Which of the following are spiritual needs of dying patients
1)Need for hope and creativity
2)Need to complete a will for loved ones
3)Need to give and receive love
4)Need for meaning and purpose

A)1, 2, and 3
B)1, 3, and 4
C)1, 2, and 4
D)2, 3, and 4

Question 56

A patient's "total pain" includes
1)psychological.
2)economic.
3)social.
4)spiritual.

A)1, 2, and 3
B)1, 2, and 4
C)2, 3, and 4
D)1, 3, and 4

Question 57

A massive heart attack is illustrative of one type of dying trajectory.

Question 58

Pain can be directly measured and observed.

Question 59

Terminal restlessness is a welcomed medical condition showing the ability to maintain attention at the end-of-life.