Deck 19: Lifes Final Chapter

Question 1

Assisted suicide occurs when physicians provide the means for a patient's death.

Answer 1

True

Question 2

The BC court ruled that it was unconstitutional to deny Gloria Taylor the right to a doctor-assisted dying if she could find a physician prepared to perform it.

Answer 2

True

Question 3

The Canadian Medical Association has identified four types of euthanasia.

Answer 3

False

Question 4

Most people in Canada today die at home.

Question 5

Death is commonly defined as the cessation of life.

Question 6

Bowby (1961) identified four stages of grief: shock-numbness, yearning-searching, disorganization-despair, and reorganization.

Question 7

Young adults typically spend a lot of time dwelling on their own impending deaths.

Question 8

The "death education" movement states that hospital staff and family members can help support dying people by understanding the stages they are going through.

Question 9

Absence of a heartbeat means a person is dead.

Question 10

Living wills must be drafted in accordance with federal laws.

Question 11

Hospice care ends with the death of the dying person.

Question 12

Voluntary euthanasia remains illegal throughout most of North America.

Question 13

Children are likely to understand that death is permanent.

Question 14

North American culture tends to accept death as a part of life.

Question 15

The stages of death according to Kübler-Ross (1969) are denial, absence, bargaining, depression, and acceptance.

Question 16

Shneidman (1977) explained that people typically change their personalities radically after they are diagnosed with a terminal illness.

Question 17

Hospice workers work only with dying patients; the care of the bereaved families is left to other professionals.

Question 18

Lawyers are useful to consult after the death of a loved one.

Question 19

Grief usually involves a combination of emotions.

Question 20

Euthanasia involves intent.

Question 21

Euthanasia means "good death."

Question 22

Fewer than 25% of Canadians said they were in favour of legalizing medically assisted suicide.

Question 23

Family members may fight about the arrangements of a loved one's funeral.

Question 24

Funerals are the same regardless of one's culture.

Question 25

Blogging has become a common method of communication for the very ill.

Question 26

Kübler-Ross's (1969) stages of dying apply equally to all who are dying.

Question 27

Many dying people experience the meaning of life in a deeper and more personal way than they had before.

Question 28

When a terminally ill person believes that a wrong diagnosis was made, this person is exhibiting the denial stage of Kübler-Ross (1969).

Question 29

It is normal for children to fear death.

Question 30

Adolescents have an adult-level understanding of death.

Question 31

Death is both a biological and a legal matter.

Question 32

Bereavement and grief are emotional experiences following the death of a loved one.

Question 33

Older adults are typically afraid of death.

Question 34

People around the world mourn the death of a loved one in a similar manner.

Question 35

Whole-brain death is the way that death is defined most often in hospitals today.

Question 36

When the brain stem and cerebral cortex show flat EEG lines, the person is considered to have had "whole-brain death."

Question 37

Hospice care can be provided only at home.

Question 38

The key factors that appear to affect the adjustment of the dying individual include the type and extent of organic cerebral impairment, pain and weakness, the time or phase of the person's life, the person's philosophy of life (and death), and prior experiences with crises.

Question 39

Hospice care is more expensive than most people can afford and is rarely covered by insurance.

Question 40

Terminal sedation is the practice of relieving distress in a terminally ill patient in the last hours or days of his or her life, usually by means of a continuous intravenous infusion of a sedative drug, such as a tranquilizer.

Question 41

Middle-aged adults are oblivious to the presence of death.

Question 42

Living wills are legal documents that designate where one's earthly possessions will be placed after death.

Question 43

More people die in nursing homes than in hospitals today in Canada.

Question 44

Living wills typically name someone who can make medical decisions for a person who is incapable of doing so for herself or himself.

Question 45

Palliative care involves treating and curing diseases.

Question 46

The majority of Canadians do not support medically assisted dying.

Question 47

Hospice workers typically work in teams of physicians, nurses, social workers, mental health or pastoral counsellors, and home care aides.

Question 48

What has been shown by the research on grief?

A) Few people experience yearning.
B) Disbelief and anger tend to subside over time and acceptance increases.
C) There are no trends in how people experience it.
D) Following a loved one's death, disbelief tends to last the longest of all of the emotions.

Question 49

Funeral arrangements can only be made in advance of one's death.

Question 50

Most health professionals support physician-assisted dying.

Question 51

Hospice care involves teams of health care professionals.

Question 52

The Canadian Supreme Court ruled that physician-assisted suicide is constitutional.

Question 53

Removing life support from a comatose patient is an example of involuntary euthanasia.

Question 54

When someone is dying, it is better to avoid having them talk about death and other negative topics.

Question 55

People who want to help others cope with the death of a loved one should be concerned that they may say the wrong thing.

Question 56

Terminal sedation is a method typically used to hasten death.

Question 57

Children may experience guilt and mistakenly believe they are responsible for the death of a loved one.

Question 58

Withholding a life-saving medical procedure is illegal in Canada.

Question 59

Joseph is in what Kübler-Ross (1969) would call the "bargaining" stage. Which of the following did Joseph just say?

A) Life has no meaning.
B) I plan to die with dignity.
C) This is the doctor's fault for misdiagnosing me.
D) I will help the poor at my church if I can live longer.

Question 60

Adolescents who experience death of a loved one may still feel invulnerable to death.

Question 61

Who did Elisabeth Kübler-Ross study in order to create her analysis of the stages of death?

A) terminally ill patients
B) accident victims
C) heart attack patients
D) liver disease patients

Question 62

Which statement best represents the risk of death for adults in midlife?

A) They are typically told not to worry about health screenings because chronic illnesses rarely affect them.
B) Accidents and suicide are the leading causes of death for their age group.
C) Heart disease and cancer are the leading causes of death for their age group.
D) Early adult death usually results from homicide.

Question 63

According to the textbook, which of the following has been identified a factor that can affect people's adjustment to their impending deaths?

A) the type and extent of organic cerebral impairment
B) the experience of their primary care physician
C) the nature of their illness
D) the quality of their relationships

Question 64

Which of the following persons is likely to work with a dying patient through hospice care?

A) a massage therapist
B) a psychotherapist
C) a bereavement specialist
D) a physiotherapist

Question 65

Which statement best describes adolescents' experience with the death of loved ones?

A) They experience the death of a loved one the same as adults do.
B) They experience the death of a loved one the same as children do.
C) They typically experience the deaths of loved ones more often than younger children do.
D) They should be shielded from the death of a loved one because they cannot handle the truth.

Question 66

What question did Randy Pausch pose to his students in his last lecture before he died?

A) Can we all leave loved ones behind more fulfilled than when we met them?
B) What will be your legacy through your life lived?
C) Do we search for the fun in every situation, or do we choose to wallow in self-misery?
D) Are we all placed on earth for a reason or is there really nothing larger than life?

Question 67

What is the legal status of medically assisted dying in Canada?

A) It is only permitted when an individual is diagnosed with cancer.
B) It is permitted only for those over the age of 50.
C) It is legal only when aided by a physician for terminally ill patient undergoing intolerable suffering.
D) A patient's spouse may administer a lethal drug to the dying patient with consent.

Question 68

According to the text, what percentage of the disability community supports medically assisted dying in Canada?

A) 20
B) 40
C) 60
D) 85

Question 69

Which statement best represents children's understanding of death?

A) It increases as they get older.
B) It is unrelated to their knowledge of biology.
C) It becomes progressively less realistic as they get older.
D) It depends on their ability to empathize.

Question 70

Which of the following generally occurs only when someone dies unexpectedly?

A) An autopsy is performed.
B) A doctor signs the death certificate.
C) A funeral director moves the body to the funeral home.
D) A cremation is conducted.

Question 71

How do many First Nations, Métis, and Inuit peoples approach death?

A) They approach it privately and without fanfare.
B) They may organize community ceremonies and feasts.
C) They do not acknowledge death.
D) They struggle to carry forward with losses that impact families and communities.

Question 72

Kübler-Ross's (1969) stages of dying apply best to which of the following people?

A) older adults
B) those with no diagnosis
C) people with a terminal illness diagnosis
D) those undergoing experimental surgery

Question 73

Elizabeth was diagnosed with terminal cancer and told she has three months to live. She has moved back to her home from the hospital. She has a doctor, nurses, a social worker, and a minister visiting her on a regular basis. From whom is Elizabeth most likely receiving care?

A) hospital workers who are taking pity on her
B) family members
C) hospice workers
D) in-home nursing staff

Question 74

Which statement best describes the impact of Kay Carter?

A) She was a young woman who was living with an incurable disease (Guillain-Barré syndrome) and bedridden for life.
B) She asked the doctors to disconnect the respirator that was keeping her alive, arguing that no one can be made to undergo treatment without consent.
C) Her case was important in making change to Canada's laws on medically assisted dying.
D) As a result of her case the courts ruled that the doctors would not be permitted to aid to commit suicide.

Question 75

Which statement best represents adolescents' experience of the death of a loved one?

A) They deny that death has occurred.
B) They eliminate their risky behaviour.
C) They typically fall apart emotionally.
D) They may reduce their risky behaviour if they see how death applies to them.

Question 76

Which statement best describes the effect on a child when a loved one dies?

A) The child will likely act more mature than typical for his or her age.
B) The death may affect a child's sense of security and safety.
C) The child will be affected in the same way that adults are affected.
D) The child will be unaffected because he or she lacks the cognitive development to fully understand death.

Question 77

Which statement best represents the critiques of stage theories of grieving?

A) Everyone grieves the same way, therefore theories are not needed.
B) The timing of events is the same for everyone, but the order may be different from predicted.
C) More emotions may be experienced than outlined.
D) Many people do not grieve, given the circumstances surrounding every death.

Question 78

Why is blood donation such a valuable gift?

A) One donation can make a difference in the lives of up to 10 people in a car accident.
B) It provides a means of checking in with medical professionals without needing a doctor.
C) It creates a sense of accomplishment for the donor.
D) It can take up to 5 donors to help a cancer patient who requires blood transfusions.

Question 79

Which statement best characterizes hospice care?

A) It is only available in hospitals.
B) Its total focus is on health care for the dying patient.
C) It focuses on dying with dignity and as pain-free as possible.
D) It is reserved for those who are expected to recover rather than those who are dying.

Question 80

After death occurs, who completes the death certificate?

A) a doctor
B) a lawyer
C) a coroner
D) a police officer or other emergency response professional