Question 1

According to your text, by 2046 ______ of Canadians will need home care.

Accepted Answer

A)  750,000 
B)  75,000 
C)  7,500,000 
D)  just over a million 
E)  just over two million

Question 2

Death in the elderly is

Accepted Answer

A)  more likely to be sudden. 
B)  less likely to be caused by degenerative diseases. 
C)  usually accompanied by a shorter terminal phase. 
D)  usually protracted because there is often more than one biological competitor for death. 
E)  All of these answers are correct.

Question 3

There has been a great deal of interest in hospice and home care for the terminally ill. What are the advantages of each for patients and care providers (both family and medical staff)? What are the disadvantages?

Accepted Answer

The answer of There has been a great deal of...

Question 4

Evaluations of hospice care indicate that, compared to patients who receive traditional treatment, hospice patients

Accepted Answer

A)  live longer. 
B)  receive fewer invasive procedures. 
C)  report lower levels of anxiety. 
D)  are more satisfied with their interpersonal care. 
E)  report a lack of care.

Question 5

Suicide between the ages of 15 to 24 is the ____________ cause of death while __________ is/are the fourth leading cause of death.

Accepted Answer

A)  first leading; cancer 
B)  second leading; homicide 
C)  second leading; cancer 
D)  first leading; external causes 
E)  third leading; homicide

Question 6

The goals of hospice care include

Accepted Answer

A)  palliative care. 
B)  psychological comfort. 
C)  improved social support. 
D)  relief of suffering rather than the curing of an illness. 
E)  All of these are goals of hospice care.

Question 7

According to Kübler-Ross, the dying patient who asks "why me?" is experiencing

Accepted Answer

A)  anxiety. 
B)  bargaining. 
C)  denial. 
D)  anger. 
E)  acceptance.

Question 8

Describe the psychological and physiological correlates of grief.

Accepted Answer

The answer of Describe the psychological and physiological correlates of...

Question 9

Kübler-Ross's theory has made an important contribution in identifying the universal stages of dying and breaking the taboo surrounding death.

Accepted Answer

A) True 
 B)False

Question 10

Long-term denial of one's life-threatening illness

Accepted Answer

A)  is a typical reaction. 
B)  is functional in coping with anxiety. 
C)  may require psychological intervention. 
D)  is a barrier to patient provider communication. 
E)  is healthy because it allows the patient to focus on enjoying life.

Question 11

The grief response appears to be aggravated in

Accepted Answer

A)  women and those who experience sudden and unexpected loss. 
B)  men and those who experience sudden and unexpected loss. 
C)  survivors whose family members have experienced a protracted and painful death. 
D)  young children who experience the death of a sibling. 
E)  people with pets.

Question 12

People from another culture witnessing the death practices in Canada would think that

Accepted Answer

A)  the majority of deaths take place in hospices. 
B)  there are strong social pressures on the friends and relatives of the deceased to show little sign of emotion. 
C)  the direction of the viewing and burial rituals is handled by immediate family members. 
D)  death is a painful event. 
E)  death is similar in all cultures.

Question 13

Studies of patient satisfaction and medical outcomes have clearly established that hospice care is superior to traditional terminal care.

Accepted Answer

A) True 
 B)False

Question 14

What are the concerns in the psychological management of the terminally ill patient for medical staff? How can these concerns be managed?

Accepted Answer

The answer of What are the concerns in the psychological...

Question 15

Cultural differences have been found in beliefs about whether physicians think patients

Accepted Answer

A)  should be informed of all prognoses, terminal or not. 
B)  should make the decision about the use of life support. 
C)  work through stages of dying. 
D)  should seek out CAM when all traditional methods have failed. 
E)  should keep a terminal prognosis a secret from close friends or family.

Question 16

The depressed terminally ill patient may be

Accepted Answer

A)  coming to terms with a lack of control. 
B)  experiencing anticipatory grief. 
C)  experiencing an expected transitory psychological state which may not require intervention. 
D)  depressed as a result of experiencing tangible evidence that the illness is not going to be cured, such as a worsening of symptoms. 
E)  the depressed terminally ill patient may be in any of these states.

Question 17

Sudden death

Accepted Answer

A)  is preferred by most people compared to slow and painful death. 
B)  has the disadvantage of not allowing people to prepare their exit. 
C)  facilitates a more graceful departure. 
D)  kinder to family members. 
E)  All of these answers are correct.

Question 18

According to critics, Kübler-Ross's theory has limitations because

Accepted Answer

A)  it fails to recognize death as a complex and individual process, subject to no rules and few regularities. 
B)  it does not fully acknowledge the importance of anxiety. 
C)  there is little if any empirical evidence to support the proposition that patients go through five stages in a predetermined order. 
D)  there is little if any empirical evidence to support the proposition that patients go through five stages 
E)  All of these answers are limitations of her theory.

Question 19

Which of the following is NOT one of the factors that have been identified as contributing to a "good death"?

Accepted Answer

A)  pain and symptom management 
B)  seeking forgiveness 
C)  preparation for death 
D)  clear decision making 
E)  completion

Question 20

According to the text, one important contributing factor to midlife crisis is the

Accepted Answer

A)  gradual realization of impending death. 
B)  growing awareness that one's risk factors for chronic illness are increasing. 
C)  cultural emphasis placed on youth. 
D)  declining importance middle-aged adults place on their work. 
E)  lower income of many middle-aged adults.

Exam 12: Psychological Issues in Advancing and Terminal Illness