Deck 17: Death, Dying, and Grieving

Question 1

Differences between the Gond culture of India and the Tanala culture of Madagascar highlight the fact that:

A)reaction to death is influenced by perception of its causes.
B)perception of death is influenced by lifestyle.
C)reaction to death is influenced by age.
D)perception of death is influenced by relationship to the victim.

Answer 1

reaction to death is influenced by perception of its causes.

Question 2

Which of the following religions believes in reincarnation?

A)Evangelical Christian
B)Catholic
C)Mormon
D)Hindu

Answer 2

Hindu

Question 3

Memorial Day in the United States and the Day of the Dead in Mexico are part of which death system component?

A)places
B)times
C)objects
D)symbols

Answer 3

times

Question 4

U.S.culture uses euphemistic terms for death.This is an indication of:

A)reverence.
B)denial.
C)naïveté.
D)anger.

Question 5

Twenty-five-year-old Valeri was at her grandmother's bedside when she died and is having difficulty coping with the experience.Valeri is MOST likely from which of the following countries?

A)the United States
B)India
C)Kenya
D)Mexico

Question 6

Gary was in a serious automobile accident.The physician informs the family that Gary is brain dead.What does this mean?

A)Electrical activity in the low portions of Gary's brain has ceased.
B)Electrical activity in the higher portions of Gary's brain has ceased.
C)Electrical activity in the higher and lower portions of Gary's brain has ceased.
D)The physician will allow the family to elect active euthanasia.

Question 7

Most physicians define death as the cessation of function in the _____ portion of the brain.

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

Question 8

What do members of the Gond culture of India believe causes death?

A)magic and demons
B)natural forces
C)a supreme being
D)selective fate

Question 9

Velma lives in the United States and is nearing the end of her life.Where is she MOST likely to die?

A)at home
B)in a hospice facility
C)in a hospital
D)in the home of one of her children

Question 10

Twenty-five years ago, definitions of death centered on:

A)neurological signs.
B)breathing and blood pressure.
C)electrical activity in the brain.
D)behavioral responses.

Question 11

Using all life-prolonging methods possible, even in the face of certain death, is a sign of:

A)denial of death.
B)medical advancement.
C)intolerance of euthanasia.
D)naïveté.

Question 12

Which portions of the brain die first?

A)lower
B)middle
C)higher
D)All portions die at the same time.

Question 13

Which of the following is an unintended consequence of the medical community's emphasis on prolonging life?

A)Children learn to fear growing older and dying.
B)Older adults have unrealistic expectations about what the quality of their life will be.
C)Chronically ill patients have time to plan a funeral.
D)It allows people to deny or avoid the certainty of death.

Question 14

What is the life expectancy in the United States today?

A)69 years
B)73 years
C)78 years
D)84 years

Question 15

What was the life expectancy in the United States in 1900?

A)39 years
B)47 years
C)54 years
D)61 years

Question 16

People, places or contexts, times, objects, and symbols are all components of a culture's death ________

A)stages.
B)system.
C)prevention strategy.
D)definition.

Question 17

In contrast to those of many other cultures, people in the United States:

A)are death avoiders and death deniers.
B)have deeper religious beliefs associated with death.
C)have greater exposure to rituals associated with death.
D)experience greater losses when a family member dies.

Question 18

Two hundred years ago, approximately what percentage of children died before the age of 10?

A)50 percent
B)60 percent
C)30 percent
D)20 percent

Question 19

If all electrical activity of the brain has ceased for a specified period of time, an individual is:

A)brain dead.
B)biologically dead.
C)psychologically dead.
D)dead.

Question 20

Bob is dying of cancer.He will MOST likely die:

A)at home.
B)in a hospice.
C)in a hospital or institution.
D)under the care of a family member.

Question 21

Euthanasia that occurs by withholding available treatment is termed:

A)passive.
B)active.
C)overt.
D)covert.

Question 22

Which state allows active euthanasia?

A)Oregon
B)Michigan
C)Alaska
D)Vermont

Question 23

Shane knows he will die soon.He is ready to go but wants to die with dignity and little suffering.Which of the following would be a good fit with his desires?

A)herbal remedies and pain relief
B)hypnosis for pain control
C)hospital and physician care
D)hospice care

Question 24

Patricia is dying of cancer.Which of the following MOST likely is true?

A)Patricia will die at home surrounded by loved ones.
B)Patricia has been told how long she is likely to live.
C)Even though painkillers are available, Patricia still experiences severe pain.
D)Patricia would request physician-assisted suicide immediately if it were legal.

Question 25

The case of an elderly man who placed a pillow over the face of his terminally ill wife and smothered her in order to end her suffering is an example of:

A)passive euthanasia.
B)active euthanasia.
C)death with dignity.
D)acceptable homicide.

Question 26

SIDS refers to death of an infant:

A)who had severe neurological injuries.
B)from virulent salmonella infection.
C)from septic intravenous respiratory failure.
D)with no apparent health problems.

Question 27

What is the most common cause of infant death in the United States?

A)sudden infant death syndrome (SIDS)
B)birth defects
C)secondhand smoke
D)car accidents

Question 28

Alli is 8 years old.Which of the following presents the greatest risk of death for her?

A)SIDS
B)suicide
C)domestic violence
D)accidents

Question 29

Hospice is a program designed to:

A)cure illness and prolong life.
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 30

Marilyn suffers a severe stroke and irreversible brain damage.Her husband decides to remove all life support and subsequently, Marilyn dies.This is an example of:

A)active euthanasia.
B)passive euthanasia.
C)apathetic euthanasia.
D)acceptable homicide.

Question 31

What is the goal of palliative care?

A)cure illness
B)restore cortical functioning
C)reduce pain and suffering and help individuals die with dignity
D)prolong life

Question 32

Dr.Jack Kevorkian is well known for his support of and participation in:

A)the cortical death policy.
B)California's Natural Death Act.
C)passive euthanasia.
D)active euthanasia.

Question 33

In the United States, _____ euthanasia is generally more accepted than _____ euthanasia.

A)active; passive
B)passive; active
C)spontaneous; prearranged
D)prearranged; spontaneous

Question 34

Arnold has signed an advanced directive.This means that his:

A)physician can disconnect him from life-sustaining equipment.
B)immediate family has legal control over his care.
C)family is allowed to engage in active euthanasia.
D)physician is required to do everything possible to keep him alive.

Question 35

Which of the following refers to individuals' rights to determine whether extraordinary means should be used to keep them alive?

A)euthanasia
B)durable power of attorney
C)allowing termination of life support in the event of brain death
D)living will

Question 36

When higher cortical functioning is lost, what aspects of life are gone?

A)electrical brain activity
B)feeling in lower extremities
C)respiration and heartbeat
D)intelligence and personality

Question 37

Euthanasia that occurs when death is deliberately induced is termed:

A)passive.
B)active.
C)overt.
D)covert.

Question 38

Modern care providers are concerned with helping individuals experience a "good death," which generally includes all of the following EXCEPT:

A)privacy from loved ones.
B)physical comfort.
C)acceptance.
D)appropriate medical care.

Question 39

Beth has late-stage terminal cancer.She understands which procedures she is willing to endure and which ones she does not want to undergo.How can Beth best communicate her desires to her physician and family?

A)Beth should wait until she is nearly incapacitated to make any treatment decisions.
B)Beth should tell her doctor on her next visit what she has decided.
C)Beth should prepare a living will or advanced directive and share it with her family and doctor.
D)Beth can assume that her husband's judgment will mirror hers and turn the decision making over to him.

Question 40

Today, there is a shortage of _____ hospice nurses.

A)home
B)hospital
C)family
D)nursing home

Question 41

Marina's dog, Nacho, is killed by a car.When she sees him, Marina asks, "When will Nacho wake up?" Approximately how old is Marina?

A)3-5 years
B)5-7 years
C)6-9 years
D)8-10 years

Question 42

Five-year-old Matthew asks many questions about the recent death of his grandmother.Kastenbaum would say that he is:

A)too cognitively immature to understand separation and loss.
B)concerned about loss and separation and striving to understand death.
C)emotionally unable to deal with the finality of death.
D)trying to learn how he can remedy the circumstances.

Question 43

Older and middle-aged adults differ in their views on death in that middle-aged adults:

A)fear death more.
B)talk about death more.
C)think about death more.
D)accept death more readily.

Question 44

_____ are more likely to attempt suicide; _____ are more likely to commit suicide.

A)Older adults; adolescents
B)Young adults; adolescents
C)Females; males
D)Males; females

Question 45

Car accidents, suicide, and homicide cause the most deaths to those in:

A)childhood.
B)adolescence.
C)middle adulthood.
D)older adulthood.

Question 46

Karen is 45 years old.She fears death:

A)less than her 16-year-old daughter.
B)less than her 72-year-old mother.
C)more than her 47-year-old husband.
D)more than both her 16-year-old daughter and 72-year-old mother.

Question 47

Jeffrey has just begun to contemplate religious and philosophical stances on life after death.What stage of life is he in?

A)middle childhood
B)adolescence
C)early adulthood
D)middle adulthood

Question 48

How should Pamela's parents share news of her grandmother's death with her?

A)They should request that a private therapist be present when they tell her.
B)They should read her a book about death.If Pamela gets emotional, they should tell her later.
C)They should be euphemistic and brief.
D)They should be sensitive, honest, and open with Pamela.

Question 49

Robert Kastenbaum and John Bowlby agree that young children are:

A)acutely aware and concerned about separation and loss.
B)heavily influenced by media and so believe that death is reversible.
C)unable to emotionally deal with death.
D)able to cognitively comprehend death but not express this knowledge.

Question 50

Arlene is not sure how to handle her son's questions about his grandfather's death.How would a psychologist advise Arlene?

A)She should tell her son that such questions are inappropriate.
B)She should ignore the questions and change the subject.
C)She should discuss the topic honestly and at an age-appropriate level.
D)She should tell him that his grandfather will wake-up in a few years.

Question 51

What is the third leading cause of death among 10- to 19-year-olds in the United States?

A)suicide
B)car accidents
C)cancer
D)homicide

Question 52

Terminally ill patients experience different feelings.Younger adults are likely to grieve what they _____; older adults grieve losing what they _____.

A)have; might achieve
B)might achieve; have
C)love; meant to do
D)meant to do; love

Question 53

Older adults are MOST likely to die from:

A)autoimmune diseases.
B)genetic disorders.
C)accidents.
D)chronic diseases.

Question 54

Six-year-old Britton probably sees death as:

A)universal.
B)humorous.
C)inevitable.
D)reversible.

Question 55

At his grandfather's funeral, Rick cries, "Grandpa's not coming back." Approximately how old is Rick?

A)3-5 years
B)5-7 years
C)6-8 years
D)9 years

Question 56

What spurs a young adult to become more conscious of death?

A)first major illness
B)seeping awareness of vulnerability
C)recognition of aging
D)first major failure (school, job, relationship, etc.)

Question 57

Ten-year-old Denise has just suffered the death of her father.What impact will this have on her life?

A)Assuming she still has a mother, Denise's father's death will be a minor emotional speed bump in her life.She will recover completely within 1-2 months.
B)Denise will require personal counseling to overcome the negative effect of her father's death.
C)Denise will see her father's death as magic and temporary.She will be confused when he does not wake up.
D)Impact on Denise will depend on factors such as the quality of her relationship with her father and on the nature of his death.

Question 58

What is the main difference between the feelings of younger adults and those of older adults who are terminally ill?

A)younger adults feel more anger
B)older adults feel more guilt
C)younger adults feel cheated
D)older adults feel resigned

Question 59

Emerging adults are _____ adolescents to commit suicide.

A)not as likely as
B)equally likely as
C)more likely than
D)there is not enough research in this area to answer

Question 60

At what age do children gain an understanding of the universality and finality of death?

A)3 years
B)6 years
C)9 years
D)12 years

Question 61

Calvin is contemplating imminent death after failed attempts to cure his condition.He cries frequently and often refuses visitors.Which of Kübler-Ross's stages of grief does this illustrate?

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

Question 62

The results of a 2009 national survey revealed that more than _____ of U.S.adolescents had seriously considered or attempted suicide in the last 12 months.

A)2 percent
B)5 percent
C)14 percent
D)25 percent

Question 63

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

A)She underestimates 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 failed to validate the existence of the five-stage sequence.
D)She ignored that most people do not realize they are dying.

Question 64

Who is the MOST likely to attempt suicide?

A)Native American/Alaska Native adolescent female
B)African American adolescent female
C)Latino adolescent male
D)Asian adolescent male

Question 65

During which life stage is the rate of suicide the highest?

A)adolescence
B)young adulthood
C)middle adulthood
D)85 years and older

Question 66

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

A)a phase that friends and family can help the person through by encouraging cheerfulness.
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 oneself from the world and others.
D)an uncommon reaction signaling a need for counseling and possible antidepressant medication.

Question 67

Hanna stares out the hospital window and wonders why she has to die.She snaps at a worker who arrives to gather her food tray.Which of Kübler-Ross's stages of grief does this illustrate?

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

Question 68

Which of the following psychological traits is NOT associated with adolescent suicide?

A)high self-blame
B)high self-efficacy
C)low self-esteem
D)hopelessness

Question 69

Harold is 79.He lives alone, recently lost his spouse, and has high blood pressure and other health problems.Harold is at risk for which of the following?

A)loneliness
B)depression
C)suicide
D)all of these

Question 70

Low self-esteem, social isolation, illegal drug use, and depression are risk factors for:

A)Attention Deficit/Hyperactivity Disorder.
B)Generalized Anxiety Disorder.
C)suicide.
D)homelessness.

Question 71

Kay knows the end is near.She is calm and ready to let go of her earthly cares.Which of Kübler-Ross's stages of grief does this illustrate?

A)depression
B)tolerance
C)denial
D)acceptance

Question 72

Which two factors may work as adaptive strategies for facing death?

A)perceived control and acceptance
B)autonomy and denial
C)coping skills and autonomy
D)denial and perceived control

Question 73

When asked, "What would you do if you had only 6 months to live," Beth answers that she would spend time meditating.Beth is likely a(n):

A)adolescent.
B)young adult.
C)older adult.
D)child.

Question 74

Which of the following lists Kübler-Ross's stages of dying in the correct order?

A)denial, anger, bargaining, depression, acceptance
B)denial, bargaining, anger, depression, acceptance
C)denial, anger, grief, bargaining, acceptance
D)anger, bargaining, depression, acceptance, grief

Question 75

"What would you do if you had only 6 months to live?" Brett answers this hypothetical question by indicating that he would visit the pyramids in Egypt.Brett is likely a(n):

A)adolescent
B)young adult
C)older adult
D)child

Question 76

Who is the LEAST likely to attempt suicide?

A)Native American/Alaska Native adolescent female
B)African American adolescent male
C)Latino adolescent male
D)Asian adolescent male

Question 77

Most patients nearing death want to die:

A)via active euthanasia.
B)in a hospital.
C)at home.
D)in a nursing home.

Question 78

Harold knows he will not live much longer.He asks God to prolong his life and promises to make amends with his estranged children.Kübler-Ross believed that this type of reaction tends to occur:

A)in the middle of the process of adjusting to death.
B)early in the process of adjusting to death.
C)just before death occurs.
D)near the end of the process of adjusting to death.

Question 79

Brenda is surprised that her chemotherapy has not been more effective."I can't die-not me." Which of Kübler-Ross's stages of dying does this illustrate?

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

Question 80

Which of the following is true of Kübler-Ross's stages of dying?

A)Some individuals never come to accept their imminent death.
B)Individuals go through each stage, but time spent in each stage varies.
C)Individuals go through each stage, but the order of the stages varies.
D)More positive reactions to dying occur in individuals who have had difficult, meaningless lives.