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Q:
In the _____ stage of dying, the dying person's question is, "Why me?"
A.
acceptance
B.
denial
C.
bargaining
D.
Q:
According to Kbler-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.
Q:
Which of the following is Kbler-Ross' third stage of dying?
A.
Denial and isolation
B.
Acceptance
C.
Bargaining
D.
Q:
Which of the following statements is true about the attitudes toward death among older adults and younger adults?
A.
Younger adults lack any anticipation and hence death is usually emotionally less painful to them.
B.
Older adults are more likely to have children who need to be guided to maturity than younger adults and hence cannot accept death.
C.
Older adults are less likely to have unfinished business than are younger adults and hence are more likely to cope with death better than younger adults.
D.
Q:
According to Elisabeth Kbler-Ross, which of the following is the first stage of dying?
A.
Denial and isolation
B.
Bargaining
C.
Acceptance
D.
Q:
"No, it can't be me. It's not possible", thinks Clara when she hears the news of her terminal illness. In this scenario, Clara is in which of the following Kbler-Ross' stages of dying?
A.
Acceptance
B.
Bargaining
C.
Denial and isolation
D.
Q:
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 elses." According to Kbler-Ross, Myette is in the _____ stage of dying.
A.
anger
B.
denial and isolation
C.
bargaining
D.
Q:
According to Elisabeth Kbler-Ross, which of the following is the second stage of dying?
A.
Denial and isolation
B.
Bargaining
C.
Acceptance
D.
Q:
According to Kbler-Ross, in the _____ stage of dying, the dying person recognizes that denial can no longer be maintained.
A.
anger
B.
bargaining
C.
acceptance
D.
Q:
Seven-year-old Matthew's mother passed away recently. He has started asking his father about his mothers whereabouts. Which of the following is the BEST strategy of dealing with Matthews questions?
A.
The father should evade Matthew's questions for as long as possible.
B.
The father should treat the topic of his mothers death as unmentionable.
C.
The father should be honest about his mother's death.
D.
Q:
Four-year-old Rebecca's grandfather died a few weeks ago. Rebecca has been asking her mother why Grandpa has not been over to visit them. Which of the following approaches should her mother follow while answering Rebeccas questions?
A.
Reassure Rebecca that Grandpa will visit Rebecca every night in Rebecca's dreams.
B.
Try to divert Rebecca's attention and avoid questions related to death.
C.
Explain that Grandpa has gone on a very long trip and will not be coming over anymore.
D.
Q:
When explaining death to younger children (around preschool age), the most important point for parents to stress is that:
A.
death is final and irreversible.
B.
all things eventually die.
C.
death is a physical and biological process.
D.
Q:
Compared to young children, which of the following is likely to be a differentiating aspect of adolescents' view of death?
A.
They tend to get angry at death.
B.
They develop more abstract conceptions of death.
C.
They need more reassurance that they will be loved even after a caregiver dies.
D.
Q:
According to Kalish & Reynolds, middle-aged adults actually _____ than do young adults or older adults.
A.
fear death more
B.
talk about death more
C.
think about death more
D.
Q:
Which of the following statements is FALSE about young children and their perception of death?
A.
They tend to confuse death with sleep.
B.
They often believe that only people who want to die actually die.
C.
They become very upset at the sight of a dead animal or when they are told that a person had died.
D.
Q:
Most psychologists emphasize that _____ is the best strategy in discussing death with children.
A.
honesty
B.
evasion
C.
lying
D.
Q:
At which age do infants have the highest risk of dying from sudden infant death syndrome (SIDS)?
A.
2 to 4 months of age
B.
5 to 6 months of age
C.
7 to 9 months of age
D.
Q:
Most deaths that occur during adolescence are caused by:
A.
cancer.
B.
motor vehicle accidents.
C.
heart disease.
D.
Q:
Older adults are more likely to die from:
A.
autoimmune diseases.
B.
genetic disorders.
C.
motor vehicle accidents.
D.
Q:
In a recent review of research on children's conceptions of death, it was concluded that children probably do not view death as universal and irreversible until about _____ years of age.
A.
4
B.
7
C.
9
D.
Q:
Currently in the United States, 90 percent of hospice care is provided:
A.
in special units in hospitals.
B.
in nursing homes.
C.
in the patients' homes.
D.
Q:
Sudden infant death syndrome (SIDS) occurs when an infant:
A.
suffers severe neurological injuries that eventually result in death.
B.
contracts a virulent salmonella infection.
C.
dies from septic intravenous respiratory failure.
D.
Q:
Three-month-old Marco has died unexpectedly while sleeping in his crib at night. The doctors conclude that he had stopped breathing during the night and died with no apparent cause. Which of the following is the mostly likely reason for Marco's death?
A.
Anorexia
B.
Down syndrome
C.
Salmonella infection
D.
Q:
What is the leading cause of infant death in the United States?
A.
Sudden infant death syndrome (SIDS)
B.
Accidents
C.
Child abuse
D.
Q:
Kim is having difficulty coping with the death of her 2-month-old son who appeared healthy but stopped breathing and died with no apparent reason. What was the most likely cause of the baby's death?
A.
Asthma
B.
SIDS
C.
Respiratory distress syndrome
D.
Q:
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.
Q:
The main purpose of a hospice is to:
A.
eliminate Americans' fear of death.
B.
provide high-quality medical intervention in a homelike setting.
C.
aid dying patients to face death in a psychologically healthy way.
D.
Q:
Hospices are more likely to serve people with _____ than those with other life-threatening conditions.
A.
terminal cancer
B.
AIDS
C.
cardiovascular disease
D.
Q:
Hospice advocates underscore that it is possible to:
A.
limit the administration of pain medication and prevent addiction.
B.
try new treatments for many incurable diseases.
C.
find the cure for any dying individual.
D.
Q:
For hospice services to be covered by Medicare, the patient must be:
A.
diagnosed with terminal cancer.
B.
deemed by a physician to have six months or fewer to live.
C.
deemed by a physician to have between one and two years to live.
D.
Q:
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.
Q:
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.
Q:
A "good death" involves all of the following EXCEPT:
A.
acceptance.
B.
support from loved ones.
C.
religious or community death rites.
D.
Q:
Which of the following statements is true about the causes of death among people?
A.
Compared with adolescence, death in childhood is more likely to occur because of motor vehicle accidents, suicide, and homicide.
B.
Major illnesses that cause death in children are heart disease, cancer, and birth defects.
C.
Younger adults are most likely to die from chronic ailments such as heart disease and cancer.
D.
Q:
_____ 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.
Q:
Active euthanasia is legal in:
A.
the Netherlands and Belgium.
B.
Africa and India.
C.
Canada and Sweden.
D.
Q:
In Judaism, _____ refers to the period between death and burial.
A.
sheolism
B.
avelut
C.
aninut
D.
Q:
Which of the following statements is true about the contexts in which people die?
A.
For many individuals, regardless of the time left before death, the context in which they die is of hardly any importance.
B.
Individuals who are facing death worry about the competency of caregivers.
C.
There is a huge decline in the number of dying individuals who chose to die in the humane atmosphere of a hospice.
D.
Q:
Which of the following statements is true about better care for dying individuals?
A.
Many health care professionals have received little training to provide adequate end-of-life care or to understand its importance.
B.
In every case, doctors usually provide ample information to the dying individuals about how long they are likely to live.
C.
Scientific advances have always made dying easier by hardly delaying the inevitable.
D.
Q:
In Harrington & Smith's study of patients with advanced cancer, only _____ of doctors told patients how long they were likely to live.
A.
12 percent
B.
8 percent
C.
57 percent
D.
Q:
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.
Q:
Terry is in the final stages of lupus, a condition which causes her severe pain and discomfort. At Terry's insistence, her caregiver agrees 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.
Q:
What do studies say of the American attitude toward euthanasia after the Terri Schiavo incident?
A.
The general public and experts entirely agree on the precise boundaries of implementing the practice of euthanasia.
B.
General population favors active euthanasia.
C.
There is a trend toward accepting passive euthanasia in case of terminally ill patients.
D.
Q:
In which of the following states is active euthanasia not considered a crime?
A.
Nevada
B.
Texas
C.
Washington
D.
Q:
Active euthanasia is legal in the state of:
A.
California.
B.
Florida.
C.
New York.
D.
Q:
Which of the following statements is true about assisted suicide?
A.
Canada was the first country to give legal status to assisted suicide.
B.
In some states of the United States where assisted suicide is illegal, the crime is typically considered manslaughter or a felony.
C.
The United States government has an official policy on assisted suicide and it decides the legality of assisted suicide in any state.
D.
Q:
Basilio sustained severe and irreversible brain damage due to an accidental overdose of insulin. His wife and 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.
Q:
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.
Q:
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.
Asphyxia
C.
Euthanasia
D.
Q:
Sometimes euthanasia is called:
A.
"honor killing."
B.
"mercy killing."
C.
"quick death."
D.
Q:
Turning off a respirator or a heart-lung machine is an example of _____ euthanasia.
A.
active
B.
deliberate
C.
passive
D.
Q:
An advance directive, such as a 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.
Q:
Laws in _____ states (in the United States) accept advance directives/living wills as reflecting an individual's wishes.
A.
40
B.
45
C.
48
D.
Q:
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.
Q:
A recent study of end-of-life planning conducted by Clements in 2009 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.
Q:
Euthanasia is otherwise known as _____.
A.
easy death
B.
death wish
C.
involuntary death
D.
Q:
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.
only the lower regions of the brain stop functioning.
D.
Q:
The _____ portions of the brain often die sooner than the _____ portions.
A.
lower; higher
B.
lower; middle
C.
higher; lower
D.
Q:
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.
Q:
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.
Q:
_____ refers to a legal document that reflects the patient's advance care planning.
A.
Last request
B.
Dying will
C.
Living will
D.
Q:
_____ 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.
An advance directive
B.
Choice in Dying
C.
An oral will
D.
Q:
A flat EEG (electroencephalogram) recording for a specified period of time is one criterion of _____.
A.
rigor mortis
B.
euthanasia
C.
brain death
D.
Q:
Which of the following was considered to be a clear sign of death in the past?
A.
A flat EEG (electroencephalogram)
B.
Moderate brain stem function
C.
Lack of higher cortical brain function
D.
Q:
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.
Q:
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.
Q:
Which of the following were considered to be clear signs of death twenty-five 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.
Q:
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.
Q:
Which of the following emotional reactions is most common in the Gond culture of India in response to death?
A.
Peace
B.
Acceptance
C.
Denial
D.
Q:
In the Tanala culture of Madagascar, death is believed to be caused by:
A.
natural forces.
B.
magic and demons.
C.
ill will of others in the community.
D.
Q:
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.
Q:
Which of the following statements is NOT true 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.
Q:
Which of the following is true of divorce or remarriage in older adults?
A.
Women are more likely than men to remarry, thus removing themselves from the pool of divorced older adults.
B.
Rising divorce rates, increased longevity, and better health have led to an increase in remarriage by older adults.
C.
The majority of divorced older adults are men, due to their greater longevity.
D.
Q:
Adult daughters are _____ times more likely than are adult sons to give parents assistance with daily living activities.
A.
three
B.
five
C.
two
D.
Q:
Researchers have found that relationships between aging parents and their children are characterized by _____.
A.
anger
B.
ambivalence
C.
apathy
D.
Q:
Which of the following is true of the American attitude toward death?
A.
Americans are conditioned from early in life to live as mere mortals.
B.
It is not uncommon for Americans to reach adulthood without having seen someone die.
C.
To live a full life and die with glory is the prevailing goal of the Americans.
D.
Q:
Which of the following religions believes in reincarnation?
A.
Orthodox Judaism
B.
Methodism
C.
Buddhism
D.
Q:
Sarah and Kent have always had a very traditional family structure. Kent worked outside the home and Sarah was a homemaker. When Kent retires, which of the following situations is most likely to arise?
A.
Sarah will have difficulty keeping up with housework.
B.
Sarah will help more with yard work.
C.
Sarah will be delighted to have someone help her, so she can spend increasing amounts of time away from home.
D.
Q:
According to studies by Price & Nesteruk (2010), retirement brings the greatest changes to _____ families.
A.
modern
B.
egalitarian
C.
minority
D.
Q:
In 2010, _____ percent of older adults were cohabiting.
A.
4
B.
1
C.
3
D.