Deck 7: Dying in the American Health Care System

Question 1

The Chinese believe that the family and the physician are responsible for the patient's treatment.

Answer 1

True

Question 2

In the United States the dying patient within the typical acute-care hospital is a social deviant.

Answer 2

True

Question 3

Recent surveys of physicians revealed that they prefer less emphasis on the topic of death and dying in medical schools.

Answer 3

False

Question 4

The technological imperative requires that there must be cost-effectiveness in medical treatment.

Question 5

Hospice patients cannot receive both home care and inpatient care.

Question 6

In American society,for the patient,the hospital is the preferred place to die.

Question 7

The medical training of most physicians historically seems to be primarily concerned with the patient's physical state rather than with social-psychological needs.

Question 8

Public policy in the United States relative to health care is based on utilitarianism.

Question 9

The primary reaction to deviance of any type is punishment of some sort.

Question 10

The Chinese favor open and frank talk with the patient regarding his or her terminal condition.

Question 11

The dying patient is a deviant in the medical subculture because death poses a threat to the image of the "physician as healer."

Question 12

Labeling theory focuses on the act or actor rather than on the audience observing.

Question 13

The majority of medical schools in the United States offer a required course in thanatology for students.

Question 14

Medical schools in the United States have historically offered only limited assistance to the medical student concerning dying and death.

Question 15

The cost of health care in the United States in 2010 was more than $2 trillion.

Question 16

Dying in America is one activity that by its nature cannot be bureaucratized.

Question 17

Inherently the dying patient poses a threat to the image of the "model physician."

Question 18

Like the United States,dying in China primarily occurs in an institutional setting.

Question 19

According to Leming and Dickinson,the dying person can seldom assume normal role functioning.

Question 20

Public health expenditures such as Medicare and Medicaid accounted for about 40 percent of U.S.health care dollars in 2010.

Question 21

Which of the following statements is True regarding a dying patient?

A)Seventy-five percent of patients are hospitalized at some point during the year before they die.
B)Dying in America is one activity that by its nature cannot be bureaucratized.
C)In American society,for the patient the hospital is the preferred place to die.
D)None of the above.

Question 22

Indirect costs of health care typically include the overhead costs of running a hospital.

Question 23

A prevalent idea in most Western societies,especially the United States,that if the technological capability to do something is available,then it should be done is called

A)the technological imperative.
B)technology in action.
C)a technosolution.
D)none of the above.

Question 24

The systematic description of a culture based on firsthand observation is called ethnography.

Question 25

In Body of Work,Christine Montross observed that in medical schools in _____ the cadavers are treated with much respect.

A)China
B)England
C)Thailand
D)Poland

Question 26

Which of the following statements is False regarding medical education in the United States?

A)Medical schools have historically offered only limited assistance to the medical student concerning dying and death.
B)Recent surveys of physicians revealed that they prefer more emphasis on the topic of death and dying in medical schools.
C)The majority of medical schools offer a required course in thanatology for students.
D)The medical training of most physicians historically seems to be primarily concerned with the patient's physical state rather than with social-psychological needs.

Question 27

Which of the following statements is True regarding the Chinese?

A)The Chinese believe the family and the physician are responsible for the patient's treatment.
B)The Chinese favor open and frank talk with the patient regarding his or her terminal condition.
C)Like the United States,dying in China primarily occurs in an institutional setting.
D)None of the above.

Question 28

More than ____ percent of individuals aged 65 and over are expected to spend some time in a nursing home.

A)20
B)30
C)40
D)50

Question 29

The author of Living and Dying at Murray Manor is Jaber Gubrium.

Question 30

More than 40 percent of Americans over age 65 are expected to spend some time in a nursing home.

Question 31

Which of the following statements is False regarding dying in the United States?

A)The idea of dying does not fit within the medical model held in the United States.
B)The dying patient is a social deviant within the typical acute-care hospital.
C)The dying patient is a deviant in the medical subculture because death poses a threat to the image of the "physician as healer."
D)Labeling theory focuses on the act or actor rather than on the audience observing.

Question 32

A model hospice inpatient care facility in the United States is the

A)California Hospice.
B)Minnesota Hospice.
C)Kentucky Hospice.
D)Connecticut Hospice.

Question 33

The first U.S.hospital was established in 1713 in Boston.

Question 34

The author of Living and Dying at Murray Manor is

A)C.Saunders.
B)T.Parsons.
C)J.Gubrium.
D)M.Weber.

Question 35

Part A of Medicare is supplementary medical insurance for physicians' services,outpatient care,laboratory fees,and home health care.

Question 36

A federal program of health insurance for persons 65 years of age and older in the United States is

A)Medicaid.
B)managed care.
C)third-party payments.
D)Medicare.

Question 37

When sick,we go to a physician to be made well.In the United States this is known as the

A)medical model.
B)wellness program.
C)health initiative.
D)go-well program.

Question 38

Which contributes to the fact that physicians are ill prepared to deal with dying patients?

A)Lack of personal experience with death
B)Lack of training provided by medical schools
C)Assumption that physicians are supposed to save lives;thus,the dying patient is a losing battle
D)All of the above.

Question 39

A federal and state program that uses general revenues to fund health care for the poor is called

A)Medicare.
B)Medicaid.
C)managed care.
D)third-party payments.

Question 40

The first hospital was established in the United States in 1713 in

A)New York City.
B)Boston.
C)Philadelphia.
D)New Haven,Connecticut.