Deck 12: Dying and Spirituality

Question 1

Life expectancy in Canada is __________ years of age.

A)78
B)81
C)86
D)94

Answer 1

B

Question 2

Jennie was born in 1795.What was the probability that she would die before her first birthday?

A)1 in 2
B)1 in 3
C)1 in 4
D)1 in 5

Answer 2

B

Question 3

In the early 1900s,a person was most likely to die from __________; in 2000s,a person was most likely to die from __________.

A)influenza; cancer
B)heart disease; drug overdose
C)cancer; tuberculosis
D)old age; childbirth

Answer 3

C

Question 4

Before the 20^th century,__________ of children died by the age of ten.

A)1/4
B)1/3
C)1/2
D)less than 1%

Question 5

Mortality rates have declined in the West from the 19^th through the 21^st century largely because of:

A)clean water supplies.
B)decline in diseases such as cancer.
C)increased life expectancy.
D)workplace safety regulations

Question 6

Canada's three territories,Manitoba,and Saskatchewan have lower life expectancy than the rest of the country.This is likely because:

A)the primary industry is mining,which has high deaths due to accident.
B)the medical infrastructure is underdeveloped in these provinces and territories.
C)a higher proportion of their population is comprised of First Nations people.
D)there are the only provinces and territories that do not have regulated gun control.

Question 7

Over the past 100 years,deaths from cancer have:

A)decreased.
B)increased.
C)remained steady.
D)decreased for women and increased for men.

Question 8

A figure that provides information about the number of deaths that occurred per 100,000 people in a given year is the:

A)the death report
B)the incidence of fatalities
C)the casualty index
D)the mortality rate

Question 9

Which Canadian province has the highest life expectancy?

A)Saskatchewan
B)Newfoundland
C)British Columbia
D)New Brunswick

Question 10

Which of the following is one of humankind's oldest fears,as written about by Edgar Allen Poe?

A)Brain death
B)Premature burial
C)Emotional death
D)Unattended funeral

Question 11

__________ is the number of deaths in a population for a given year,which is typically given as number of deaths per 100,000 people per year.

A)The death report
B)The incidence of fatalities
C)The mortality rate
D)The casualty index

Question 12

In 2009,the leading cause of death in Canada was

A)lung cancer.
B)influenza or pneumonia
C)heart attack.
D)stroke.

Question 13

As death rates fell over the past century,and as death became less a part of life,the subject of death became:

A)Popular
B)Taboo
C)Controversial
D)Adversarial

Question 14

__________ is a technique for reviving an individual's lungs and heart that have ceased to function.

A)Cardiopulmonary resuscitation
B)Heart and lung compression
C)Cardiovascular recovery
D)Cerebropulmonary resuscitation

Question 15

__________ death occurs when a person stops breathing and a pulse can't be detected.

A)Brain
B)Biological
C)Clinical
D)Physiological

Question 16

Andy was born in 1885.What was the probability he would die before his tenth birthday?

A)1 in 3
B)1 in 2
C)1 in 7
D)1 in 10

Question 17

Before the 20^th century,__________ of infants died before their first birthday.

A)1/4
B)1/3
C)1/2
D)1/10

Question 18

Which type of death is LEAST useful to the medical profession because it can be temporary?

A)Clinical
B)Brain
C)Social
D)Biological

Question 19

What was the mortality rate by heart attack in Canada in 2009?

A)Approximately 8 per 100,000
B)17 per 100,000
C)32 per 100,000
D)Just over 87 per 100,000

Question 20

__________ death occurs when respiration and heartbeat have stopped.

A)Brain
B)Clinical
C)Biological
D)Physiological

Question 21

__________ is an emotional response to the loss of another,including feelings of anxiety,despair,sadness,and loneliness.

A)Sorrow
B)Grievance
C)Grief
D)Distress

Question 22

What is the attitude towards death of most individuals in late adulthood?

A)They regret that there are few years ahead of them and tend to fall into depression.
B)They become more accepting of others and less judgmental.
C)They are more rigid as they face the reality of their mortality.
D)They revert to the ego-centrism of early childhood and adolescence and become introverted.

Question 23

When Jess learned that his wife was terminally ill,he became depressed and then became quite concerned about her and her illness.As she came closer to dying,he rehearsed her death over and over in his mind and began to think about how life would be without her after she was gone.Jess is experiencing:

A)complicated grief.
B)delayed reaction.
C)distorted reaction.
D)anticipatory grief.

Question 24

Depression,a heightened concern for the ill person,rehearsal of death,and an attempt to adjust to the consequences that are likely to occur after the death are the phases in:

A)complicated grief.
B)clinical death.
C)preparatory death
D)anticipatory grief.

Question 25

In general,if a person goes without oxygen for approximately __________,brain death will occur.

A)8 to 10 minutes
B)30 to 50 seconds
C)5 to 8 minutes
D)15 to 20 minutes

Question 26

A rational outlook on death develops during:

A)childhood.
B)adulthood.
C)adolescence.
D)late adulthood.

Question 27

Leo was three when his mother and father died in a car accident.What critical phase of Leo's development has been interrupted?

A)Identity
B)Purpose
C)Attachment
D)Separation anxiety

Question 28

__________ is the term for the emotion experienced before the imminent death of a person.

A)Anticipatory grief
B)Bereavement
C)Mourning
D)Angst

Question 29

An individual with unreceptivity and unresponsivity,no movements or breathing,no reflexes,and a flat EEG reading for 24 hours meets the criteria for __________ death.

A)brain
B)clinical
C)legal
D)biological

Question 30

Carrie was recently widowed after nearly sixty years of marriage.Her grief is so overwhelming that at times she feels as if she is losing her sanity.Research has shown that what Carrie is likely feeling is:

A)sadness.
B)anger.
C)fear.
D)sorrow.

Question 31

When all electrical activity in the brain has ceased,__________ death has occurred.

A)cerebral
B)brain
C)biological
D)clinical

Question 32

Dianna is in a state of brain death.She is unconscious but remains alive in this condition.This is possible because:

A)social death has not yet occurred.
B)with cardiopulmonary resuscitation,it is still possible to return her to alertness.
C)breathing and heartbeat functions are governed by the brainstem,which is still alive in brain death.
D)the cortex and midbrain are still getting oxygen.

Question 33

According to the text,the sensation of grief is much like:

A)anger.
B)fear.
C)guilt.
D)depression.

Question 34

After Alberto was pronounced dead at an accident scene,EMT gave him cardiopulmonary resuscitation and revived him.What type of death had Alberto experienced?

A)Social death
B)Clinical death
C)Brain death
D)Biological death

Question 35

Which of the following components of CPR is no longer considered necessary?

A)mouth-to-mouth breathing
B)chest compressions every three seconds
C)chest compressions every two minutes
D)about 100 chest compressions per minute

Question 36

What is the initial phase in anticipatory grief?

A)Depression
B)Rehearsal of death
C)An attempt to adjust to the consequences that are likely to occur after the death
D)A heightened concern for the ill person

Question 37

__________ occurs when it is no longer possible to discern an electrical charge in the tissues of the heart and lungs.

A)Brain death
B)Social death
C)Clinical death
D)Biological death

Question 38

__________ death occurs when a patient is treated essentially as a corpse,although perhaps still "clinically" or "biologically" alive.

A)Legal
B)Practical
C)Social
D)Cultural

Question 39

When Maxim learned that his son's diagnosis of a brain tumor was terminal,he couldn't believe he was going to lose his son,as it just seemed so wrong that a parent would outlive his child.Consequently,Maxim fell into a deep depression.Maxim is experiencing which phase of anticipatory grief?

A)first
B)second
C)third
D)fourth

Question 40

Much to her horror,Mrs.Dickinson arrived at the hospital to visit her terminally ill husband,Bill,and found the staff wrapping up his limbs and attaching a toe tag,even though he was still on the ventilator and had not experienced total organ failure.Sadly,Mrs.Dickinson was witnessing __________ death.

A)medical
B)social
C)clinical
D)legal

Question 41

Grace sits at a vigil by her dying husband every day and nearly every night.She wants to be there in case there is anything she can do to make him feel better.Grace knows that her attention is not going to extend his life,but she can't help but be worried about his health.Grace is in the __________ phase of anticipatory grief.

A)first
B)second
C)third
D)fifth

Question 42

A major concern of the shift of the care of the dead by the family to the funeral industry is:

A)too much of the burden of the care of the body is removed from the family.
B)the procedure is too traumatic and tends to lengthen the grieving process.
C)the distance of the family from the process of preparing the deceased for burial may prevent the family from confronting the reality of the loss.
D)the time and energy that is spent by the family in planning the funeral distracts from the mourning process.

Question 43

__________ is the term for the actions taken as a result of grieving.

A)Bereavement
B)Lamentation
C)Mourning
D)Keening

Question 44

Now that he knows there are no other options for the treatment of his dying partner,Joe has to come to terms with the loss.He has been with him for so long,it is difficult to think about a life without him.Joe spends hours imaging the funeral and the long,empty days afterwards.What stage of anticipatory grief is gripping Joe?

A)Depression
B)A heightened concern for the ill person
C)An attempt to adjust to the consequences that are likely to occur after the death
D)Rehearsal of death

Question 45

An indigenous Australian person mourning the death of a close family member would be expected to:

A)laugh.
B)cry for extended periods.
C)pay other people to mourn loudly at the funeral.
D)suppress their emotional state and remain stoic.

Question 46

Louis seemed to handle his son's suicide well.For months,Louis surprised his friends by carrying on nearly as if nothing had changed.Then,one evening,Louis was rushed to the hospital for an intense anxiety attack with intense suicidal feelings.Louis is suffering from:

A)complicated grief.
B)generalized anxiety.
C)a nervous breakdown.
D)delayed grief.

Question 47

__________ developed the original five-stage theory of the emotions that underlie the process of dying.

A)Sanders
B)Kübler-Ross
C)Frankl
D)Vaillant

Question 48

__________ is prolonged and intensified bereavement that may take weeks or months to pass.

A)A delayed reaction
B)Complicated grief
C)Post-traumatic grief
D)Distorted grief

Question 49

Kübler-Ross developed a five-stage theory of:

A)emotions that underlie the process of dying.
B)anticipatory grief.
C)emotions that underlie suicide.
D)the development of spirituality.

Question 50

One of the distinguishing features between distorted and complicated grief is:

A)distorted grief is not defined by length of time.
B)complicated grief does not result in physical illness.
C)distorted grief may occur months to years after the loss of a loved one,whereas complicated grief is immediate.
D)distorted grief does not result in physical illness.

Question 51

Which of the following is one of the stages in Kübler-Ross's conceptual approach to the death process?

A)Confessing
B)Accepting
C)Thanksgiving
D)Forgiving

Question 52

After Rosaria's mother died of brain cancer,Rosaria started complaining to her doctor of headaches just as her mother did before her diagnosis.The doctor determined that her pain was psychosomatic and that Rosaria had:

A)anticipatory grief.
B)complicated grief.
C)a distorted reaction.
D)a delayed reaction.

Question 53

According to the text,one of the most difficult aspects of dealing with the death of a loved one is deciding:

A)how to conduct the funeral.
B)how to dispose of possessions.
C)how to re-build relationships.
D)how to forgive past grievances.

Question 54

What is the appropriate order for Kübler-Ross's approach to the death process?

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

Question 55

The ultimate form of distorted grief is:

A)keeping the loved one preserved in a sort of shrine.
B)not demonstrating symptoms of grief until years after the loved one's death.
C)continued isolation after the funeral of a loved one,with no attempt to re-enter society.
D)physical deterioration followed by death.

Question 56

__________ refers to normal bereavement that is carried out to an extreme degree,which may include adoption of the deceased person's ailments.

A)Distorted grief
B)Delayed grief
C)Late onset reaction
D)Complicated grief

Question 57

The appropriate therapeutic strategy for overcoming unresolved grief is thought to be:

A)open confrontation about the loss of the loved one.
B)active suppression of the sorrow that accompanies the loss of a loved one.
C)distraction with the daily business of life,so that the grieving individual can move on.
D)all of these are correct

Question 58

__________ grief is a reaction to the death of a loved one that is postponed for an inordinate length of time.

A)Delayed
B)Distorted
C)Late onset
D)Complicated

Question 59

A __________ conditions are physical illnesses or symptoms that are brought about by mental factors.

A)hypochondriac
B)somatoform
C)psychological
D)psychosomatic

Question 60

Isaiah knows his mother is going to lose her battle with cancer soon.He has arranged hospice care,the funeral plans,,and the execution of her will.Now Isaiah has long hours by her bedside,trying to think of ways to adjust to her absence in his life.Isaiah is in the __________ stage of anticipatory grief.

A)first
B)second
C)third
D)final

Question 61

__________ occurs when the patient's legal instructions are honored by a medical team,so that life-sustaining efforts may be discontinued.

A)Passive euthanasia
B)Active euthanasia
C)Altruistic suicide
D)Physician-assisted suicide

Question 62

__________ euthanasia occurs when a person's life is intentionally ended.

A)Active
B)Passive
C)Calculated
D)Deliberate

Question 63

In which country is physician-assisted suicide legal?

A)Wales
B)The United States
C)The Netherlands
D)Canada

Question 64

Martha has learned that the ovarian cancer she thought she had beaten has returned and metastasized.All of the consultations she has had ended with the same conclusion.Martha is going to die soon.According to Kübler-Ross,what will Martha's first reaction be?

A)denial
B)anger
C)remorse
D)shock

Question 65

__________ is a legal document giving someone the authority to make health-care decisions if one is incapacitated.

A)PAS document
B)Health-care power of attorney
C)A living will
D)The death initiative

Question 66

__________ is a form of euthanasia where doctors administer death-inducing drugs to a patient.

A)Active euthanasia
B)Physician-assisted suicide
C)Passive euthanasia
D)Medical euthanasia

Question 67

__________ is a legal document that describes a person's wishes forspecific-life-prolonging medical treatments.

A)Health-care power of attorney
B)PAS document
C)A living will
D)The death initiative

Question 68

Physician-assisted suicide is considered forms of:

A)active euthanasia.
B)passive euthanasia.
C)altruistic euthanasia.
D)death denial by the patient involved

Question 69

According to Kübler-Ross,a sense of peace and connectedness,as well as resignation to experiencing potential pain when confronting one's own death is:

A)quite uncommon
B)typical among religious people but atypical among non-religious people
C)experienced only by those who have successfully resolved Erikson's life crises
D)at some point experienced by most people in the process of dying.

Question 70

According to Kübler-Ross,what is the first stage experienced by many individuals when they face their death?

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

Question 71

A professional cowboy,Augustus suffered a severe injury to his legs when his horse fell on him.Now,due to a systemic blood infection,he is facing either amputation of his limbs or death.Augustus has opted for death and will not allow his physicians to treat him,so that he will be able to be buried in his boots.This decision is an example of:

A)dementia.
B)passive euthanasia.
C)active euthanasia.
D)physician-assisted suicide.

Question 72

Now that Albert has realized the diagnosis of a fourth stage brain tumor is accurate,he is no longer enraged at the injustice of dying so young.Now,Albert has started praying,promising to go to church regularly if only he is given the chance to live.Albert has moved into Kübler-Ross's __________ stage.

A)first
B)second
C)third
D)fourth

Question 73

According to Kübler-Ross,the appropriate resolution of the fourth stage of the emotional response to impending death is:

A)distancing oneself from loved ones.
B)trying to resolve anger issues.
C)accepting the diagnosis and moving on.
D)re-engage with family members and medical personnel to plan potential treatments.

Question 74

According to Kübler-Ross,many people hope that their impending death can be avoided or delayed in exchange for some promised behaviour.This is the __________ stage.

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

Question 75

What is a criticism of Kübler-Ross's five-stage theory of dying?

A)She did not allow for the potential fluctuation of strong emotions in people facing their deaths as normal.
B)She proposed that people move through the stages at a consistent rate.
C)There is no empirical support that these stages are universal either on a personal or cultural level.
D)She paid too much attention to the ethnic variability in approaching death but ignored issues of gender.

Question 76

___________ is the process of refraining from continuing efforts to sustain someone's life.

A)Physician-assisted suicide
B)Active euthanasia
C)Altruistic suicide
D)Passive euthanasia

Question 77

__________ is the process of ending a life,usually for a person with a terminal illness,to prevent a prolonged and painful death.

A)Altruistic patricide
B)Euthanasia
C)Suicide
D)Mercy killing

Question 78

Approximately __________ of Canadians die in hospitals.

A)34 percent
B)53 percent
C)66 percent
D)81 percent

Question 79

The Greek term for "good death" is:

A)eulogy.
B)eustress.
C)euthanasia.
D)thanatos.

Question 80

Cora has realized there is nothing she can do to change her terminal diagnosis.She is despondent about leaving her children without a mother and of leaving her dear husband.Cora has moved into Kübler-Ross's __________ stage.

A)fourth
B)third
C)second
D)last