Deck 17: Death, Dying, and Grieving

Question 1

An advanced directive/living will must be signed when:

A)at least two medical professionals are present.
B)a doctor and a lawyer are present.
C)an individual is told he or she has a life-threatening condition.
D)an individual is able to think clearly.

Answer 1

an individual is able to think clearly.

Question 2

A recent study found that advance care planning was associated with all of the following EXCEPT:

A)Decreased quality of care at the end of life
B)Decrease in life-sustaining treatment
C)Increase in hospice use
D)Decrease in hospital use

Answer 2

Decreased quality of care at the end of life

Question 3

A flat EEG (electroencephalogram)recording for a specified period of time is one criterion of:

A)rigor mortis.
B)euthanasia.
C)brain death.
D)paralysis.

Answer 3

brain death.

Question 4

Which of the following is the BEST description of the term "euthanasia"?

A)Easy death
B)Death wish
C)Voluntary death
D)Painless death

Question 5

Turning off a respirator or a heart-lung machine is an example of _____ euthanasia.

A)active
B)deliberate
C)passive
D)sustained

Question 6

Which of the following organizations created a legal document that reflects the patient's advance care planning?

A)Death Wish Commune
B)Choice in Dying
C)Euthanasia Undertaking
D)Death Drive Pact

Question 7

Which of the following statements about a living will is FALSE?

A)It is a legally binding document.
B)Only the terminally ill can write one.
C)The individual must be in a clear state of mind when writing it.
D)The document contains the individual's wishes regarding medical treatment.

Question 8

If the cortical death definition were adopted,then physicians could claim a person is dead when his or her _____ is no longer functioning.

A)lower brain
B)middle brain
C)higher brain
D)entire brain

Question 9

A(n)_____ states such preferences as whether life-sustaining procedures should or should not be used to prolong the life of an individual when death is imminent.

A)advance directive
B)choice in dying
C)oral will
D)representation agreement

Question 10

Brain death occurs when:

A)all electrical activity of the brain has ceased for a specified period of time.
B)a person remains unconscious for a specified period of time.
C)the lower regions of the brain stop functioning.
D)the body loses the ability to breathe on its own.

Question 11

The _____ portions of the brain often die sooner than the _____ portions.

A)lower; higher
B)lower; middle
C)higher; lower
D)middle; lower

Question 12

Angelique is in the terminal stages of cancer.She feels that the pain has now become unbearable,so she requests her doctor to end her life painlessly through medication.Which of the following acts is Angelique requesting her doctor to perform?

A)Aphasia
B)Anesthesia
C)Euthanasia
D)Dysthanasia

Question 13

A recent study of end-of-life planning revealed that _____ of patients 18 years of age and older had a living will.

A)over two-thirds
B)15 percent
C)just one-third
D)40 percent

Question 14

Which of the following was considered to be a clear sign of death in the past?

A)A flat EEG
B)Moderate brain stem function
C)Lack of higher cortical brain function
D)Rigor mortis

Question 15

_____ refers to a legal document that reflects the patient's advance care planning.

A)Last request
B)Dying will
C)Living will
D)Easy death order

Question 16

Which of the following were considered to be clear signs of death 25 years ago?

A)A flat EEG (electroencephalogram)reading for a specified period of time
B)The end of certain biological functions
C)The end of electrical activity in the brain
D)The lack of response to sensory stimuli

Question 17

The Physician Orders for Life-Sustaining Treatment (POLST)is a more advanced and specific form of:

A)a durable power of attorney.
B)an advance directive.
C)a death certificate.
D)euthanasia.

Question 18

Sometimes euthanasia is called:

A)"honor killing."
B)"mercy killing."
C)"quick death."
D)"violent death."

Question 19

In general,research suggests that physicians have a(n)______ attitude toward advance directives.

A)positive
B)negative
C)neutral
D)impartial

Question 20

A recent study found that advance care planning was associated with all of the following EXCEPT:

A)Increase in the number of medical procedures performed
B)Decrease in life-sustaining treatment
C)Increase in hospice use
D)Decrease in hospital use

Question 21

Today,death occurs most often among:

A)older adults.
B)adolescents.
C)infants.
D)middle-aged adults.

Question 22

The type of care that is designed to reduce pain and suffering and help individuals die with dignity is known as:

A)curative care.
B)palliative care.
C)terminal care.
D)compassionate care.

Question 23

In 1994,the state of _____ passed the Death With Dignity Act,which allows active euthanasia.

A)Florida
B)Oregon
C)Washington
D)New York

Question 24

_____ is a program committed to making the end of life as free from pain,anxiety,and depression as possible.

A)Asylum
B)Hospital stay
C)Hospice
D)Compassionate care

Question 25

As of 2013,which European country had NOT legalized assisted suicide?

A)Switzerland
B)The Netherlands
C)Belgium
D)Germany

Question 26

Which of the following is NOT part of palliative care?

A)Trying to cure the patient of an illness
B)Helping families cope with death
C)Making the patient comfortable
D)Showing interest in the person and family

Question 27

Which of the following is an example of active euthanasia?

A)Injecting a lethal dose of a drug
B)Turning off a respirator
C)Removing a heart-lung machine
D)Stopping antibiotics

Question 28

A "good death" involves all of the following EXCEPT:

A)Acceptance
B)Support from loved ones
C)Not feeling like a burden to others
D)Appropriate medical care

Question 29

Active euthanasia is legal in the state of:

A)California.
B)Florida.
C)New York.
D)Oregon.

Question 30

Which age group is MOST likely to die through assisted suicide?

A)Ages 25-40
B)Ages 40-55
C)Ages 60-75
D)Ages 80-95

Question 31

Which of the following statements about hospice care is TRUE?

A)Hospice care emphasizes the need to limit the administration of painkillers to terminally ill patients.
B)Hospice care mainly emphasizes efforts to cure an illness.
C)Hospice care focuses on efforts to prolong life.
D)Hospice care emphasizes palliative care.

Question 32

A recent study found that _____ percent of mid-to large-size hospitals have a palliative care team.

A)45
B)55
C)75
D)85

Question 33

Basilio sustained severe and irreversible brain damage due to an accidental overdose of insulin.His wife and his children decided to remove the life-support system,and Basilio subsequently died.This is an example of:

A)active euthanasia.
B)passive euthanasia.
C)natural euthanasia.
D)culturally acceptable euthanasia.

Question 34

A recent study of Canadians revealed that the majority were:

A)in favor of legalizing assisted suicide.
B)against the legalization of assisted suicide.
C)glad that Canada finally legalized assisted suicide.
D)not concerned with assisted suicide.

Question 35

In which of the following states is active euthanasia NOT considered a crime?

A)Nevada
B)Texas
C)Washington
D)New York

Question 36

Terry is in the final stages of lupus,a condition which causes her severe pain and discomfort.At Terry's insistence,her caregiver takes the decision to end her pain by administering a lethal dose of a drug.This is an example of _____ euthanasia.

A)passive
B)universally legal
C)natural
D)active

Question 37

Hospices are a relatively recent approach developed to:

A)cure illness and prolong life at all costs.
B)make the end of life as free from pain and anxiety as possible.
C)provide a place where people with no living relatives can die.
D)lower the cost of medical care by competing with hospitals.

Question 38

Active euthanasia is legal in:

A)the Netherlands and Uruguay.
B)Africa and India.
C)Canada and Sweden.
D)China and Japan.

Question 39

What do studies say of the American attitude toward euthanasia after the Terri Schiavo incident?

A)Family members are more accepting of passive euthanasia.
B)The general population favors active euthanasia.
C)Family members want an escalation of treatment.
D)The general population favors a mandatory euthanasia for the terminally ill.

Question 40

Damon has been terminally ill with multiple fractures to his skull.He has been in a vegetative state for over three years.Finally,his family agrees to end his suffering by removing him from the life-support system.This is an example of:

A)passive euthanasia.
B)active euthanasia.
C)natural euthanasia.
D)acceptable euthanasia.

Question 41

A Canadian study found that the overwhelming majority of individuals facing death wanted to be:

A)at home.
B)in a hospice/palliative care facility.
C)in a hospital.
D)in a nursing home.

Question 42

"No,it can't be me.It's not possible," thinks Clara,when she hears the news of her terminal illness.Which of Kübler-Ross' stages of dying is Clara currently in?

A)Acceptance
B)Bargaining
C)Denial and isolation
D)Depression

Question 43

According to Kübler-Ross,_____ is the stage of dying in which the person develops the hope that death can somehow be postponed or delayed.

A)bargaining
B)acceptance
C)depression
D)anger

Question 44

Which of the following is TRUE of the American attitude toward death?

A)Americans consider death of the biological body as the end of existence.
B)Americans do not believe in a spiritual body that lives on after death.
C)Belief in reincarnation is a defining aspect of the American belief about death.
D)Americans are generally death avoiders and death deniers.

Question 45

Which of the following is Kübler-Ross' third stage of dying?

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

Question 46

In the _____ stage of dying,the dying person's question is,"Why me?"

A)acceptance
B)denial
C)bargaining
D)anger

Question 47

In the Gond culture of India,death is believed to be caused by:

A)natural forces.
B)an angry supreme being.
C)the ill will of others in the community.
D)magic and demons.

Question 48

According to Kübler-Ross,in the _____ stage of dying,the dying person recognizes that denial can no longer be maintained.

A)anger
B)bargaining
C)acceptance
D)isolation

Question 49

According to Kübler-Ross,during the _____ stage of dying the realization of loss is great and those who symbolize life,energy,and competent functioning are especially salient targets of the dying person's resentment and jealousy.

A)bargaining
B)anger
C)depression
D)acceptance

Question 50

Ada knows that she has liver cancer and will not live much longer.In her prayers,she asks God to let her live one more year,and she will promise to set everything right with her family and loved ones.Which of Kübler-Ross' stages of dying is Ada currently in?

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

Question 51

Which of the following statement about the care of a dying older person in the U.S.today is TRUE?

A)The care of a dying older person has shifted to the family members.
B)The care of a dying older person has shifted away from the family.
C)The exposure to death and its painful surroundings has increased.
D)Most dying people are cared for by distant relatives.

Question 52

Norman is facing imminent death.If he can choose,he will likely want to die:

A)at home.
B)in a hospice/palliative care facility.
C)in a hospital.
D)in a nursing home.

Question 53

In 1900,most people died:

A)in a hospital,cared for by medical staff.
B)in a nursing home.
C)at home,cared for by their family.
D)at a hospice.

Question 54

Which of the following statements is FALSE regarding the death scenario in the U.S.today?

A)More than 80 percent of all deaths occur in institutions or hospitals.
B)The care of a dying older person has shifted away from the family.
C)Today,death occurs most often among adolescents.
D)Nowadays,more older adults die apart from their families.

Question 55

According to Elisabeth Kübler-Ross,which of the following is the second stage of dying?

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

Question 56

Emilio is facing imminent death.Given a choice,the LEAST desirable place he would choose to die is:

A)at home.
B)in a hospice/palliative care facility.
C)in a hospital.
D)in a nursing home.

Question 57

In the United States today,more than 80 percent of all deaths occur:

A)due to motor vehicle accidents.
B)due to infectious diseases.
C)at home.
D)in institutions or hospitals.

Question 58

Myette has just been told that she has breast cancer and that her tests show that the cancer has spread to her liver.Myette says,"I feel great.The lab obviously has my test results mixed up with someone else." According to Kübler-Ross,Myette is in the _____ stage of dying.

A)anger
B)denial and isolation
C)bargaining
D)depression

Question 59

Which of the following religions believes in reincarnation?

A)Orthodox Judaism
B)Methodism
C)Buddhism
D)Roman Catholicism

Question 60

According to Elisabeth Kübler-Ross,which of the following is the first stage of dying?

A)Denial and isolation
B)Bargaining
C)Acceptance
D)Depression

Question 61

For a terminally ill person,which of the following can be the most useful benefit of denying one's imminent death?

A)Denial allows the person to fully address the issue of death.
B)Denial helps shield family members from negative feelings.
C)Denial encourages the person to further develop his or her understanding of what will happen after death.
D)Denial can help to insulate the dying person from coping with intense feelings of anger.

Question 62

Josue has incurable cancer.However,he promises to lead a reformed life dedicated to God if God will spare his life.Josue is in which of Kübler-Ross' stages of dying?

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

Question 63

According to your text,grief encompasses all of the following EXCEPT:

A)Despair
B)Relief
C)Sadness
D)Depression

Question 64

Which of the following is Kübler-Ross' fourth stage of dying?

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

Question 65

Elisabeth Kübler-Ross believed that when a person is dying of a terminal illness,depression is:

A)a temporary phase that friends and family should help the person through as quickly as possible.
B)the first phase a person goes through when he or she learns that death is imminent.
C)part of the normal process of detaching the self from love objects.
D)an uncommon reaction that signals that the person needs professional counseling to cope with death.

Question 66

Prolonged or complicated grief is associated with grief that lasts:

A)six hours.
B)six days.
C)six weeks.
D)six months.

Question 67

Which of the following is an advantage of a dying individual knowing that he or she is dying?

A)The person can seek more aggressive medical interventions.
B)The person can move through the stages of dying more quickly.
C)The person can construct more effective means of denying death.
D)The person has time to reflect on his or her life and make decisions about dying.

Question 68

Most psychologists believe that it is best for dying individuals to:

A)be unaware of their condition.
B)limit their interaction with others.
C)know that they are dying.
D)distance themselves from family and friends.

Question 69

Which of the following is Kübler-Ross' fifth stage of dying?

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

Question 70

Kübler-Ross describes the _____ stage as the end of the dying struggle.

A)anger
B)acceptance
C)bargaining
D)depression

Question 71

Surviving spouses in the early stages of spousal bereavement are especially vulnerable:

A)on their anniversary.
B)when surrounded by family.
C)at church.
D)in the mornings.

Question 72

_____ grief is grief over a deceased person that is socially ambiguous and cannot be openly mourned or supported.

A)Disenfranchised
B)Prolonged
C)Complicated
D)Real

Question 73

Harold's wife died seven months ago,yet Harold still feels detached and believes his life has no meaning.Harold is experiencing:

A)complicated grief.
B)rare grief.
C)normal grief.
D)disenfranchised grief.

Question 74

According to Elisabeth Kübler-Ross,when a dying person finally accepts the fact of impending death and becomes depressed about it,which of the following would be most appropriate?

A)Remind the person of all his or her positive life achievements.
B)Tell humorous stories to cheer the person up.
C)Allow the person to experience and work through the depression.
D)Increase the person's medication dose so that he or she will have fewer negative thoughts or feelings.

Question 75

Which of the following statements is an accurate criticism of Kübler-Ross's theory of dying?

A)She underestimated the amount of time people stay in the anger stage.
B)She did not consider that men and women go through each stage differently.
C)She did not demonstrate the existence of the five-stage sequence.
D)She ignored that most people do not realize they are dying.

Question 76

Pining and preoccupation with thoughts of the deceased person are associated with:

A)separation anxiety.
B)stranger anxiety.
C)generalized anxiety.
D)palliative care.

Question 77

Terry,a terminally ill cancer patient,has finally accepted the certainty of her death.She is now refusing to have any visitors to her hospital room,and spends most of her time crying and grieving.Which of the following stages of dying is Terry most likely in?

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

Question 78

Gina is MOST likely to experience disenfranchised grief if her _____ dies.

A)daughter
B)son
C)ex-husband
D)husband

Question 79

After accepting the certainty of death,a period of _____ or preparatory grief may appear.

A)anger
B)acceptance
C)bargaining
D)depression

Question 80

_____ can be used to avoid the destructive impact of shock by delaying the necessity of dealing with one's death.

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