Deck 23: Dying and Death

Question 1

Palliative care is an approach that seeks to

A)provide short-term intensive treatment.
B)focus on patient recovery.
C)focus on controlling pain and relieving suffering.
D)encourage experimental medical treatments.

Answer 1

focus on controlling pain and relieving suffering.

Question 2

Which one of the following is NOT true of a hospice program?

A)It provides support for dying at home if that is the patient's wish.
B)Hospice care can be in a hospital,a freestanding facility,or at home.
C)It provides emotional support for the survivors.
D)It provides experimental medical treatments.

Answer 2

It provides experimental medical treatments.

Question 3

A system of palliative care that offers a set of services designed to support terminally ill people is termed

A)hospice.
B)passive euthanasia.
C)active euthanasia.
D)an advance medical directive.

Answer 3

hospice.

Question 4

When someone dies without a will,the state distributes property according to

A)rules set up by the state.
B)decisions by a court-appointed administrator.
C)the wishes of the deceased,if known.
D)the wishes of the family.

Question 5

Approximately 50 percent of Americans die

A)at home.
B)in a nursing home.
C)in a loved one's home.
D)in a hospital.

Question 6

Which of the following is a key characteristic of the concept of cellular death that is not a part of brain death?

A)It occurs without the presence of supportive medical technology.
B)It is gradual.
C)It involves the end of respiration.
D)It involves the cessation of circulation.

Question 7

Which of the following is a goal of hospice care?

A)to support the patient and family
B)to prolong life
C)to hasten death
D)to support the patient and family and to hasten death

Question 8

The complete termination of metabolic processes is called _______________ death.

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

Question 9

Día de los Muertos is a Mexican holiday

A)celebrated in the spring as part of Easter observances.
B)commemorating soldiers who have died.
C)celebrating departed loved ones with fun and good humor.
D)characterized by solemn events and traditions.

Question 10

The testator of a will is the

A)legal representative drawing up the will.
B)person making the will.
C)accumulated estate.
D)executor of the estate.

Question 11

Society's unrealistic picture of death can be seen in

A)television and video games.
B)high school textbooks.
C)news programs.
D)athletic programs.

Question 12

Clinical death in humans has been defined as the absence of all of the following EXCEPT

A)a heartbeat.
B)respiration.
C)circulation.
D)cell functionality.

Question 13

The component of a mature understanding of death that recognizes that all living things eventually die is

A)nonfunctionality.
B)irreversibility.
C)universality.
D)causality.

Question 14

Which of the following statements about the predominant attitude in the United States toward death is FALSE?

A)A majority of Americans witness the death of at least one loved one during their lifetimes.
B)Instead of facing death directly,people tend to amuse themselves with unrealistic portrayals on TV and in movies.
C)Those who view death as a relief from pain may have a partial sense of welcoming death.
D)Many people seek to avoid any thought or mention of deaths.

Question 15

The belief that humans survive in some form after death is

A)denial.
B)universality.
C)noncorporeal continuity.
D)nonfunctionality.

Question 16

The condition of having died without leaving a valid will is

A)intestate.
B)testator.
C)probate.
D)surrogacy.

Question 17

Hospice care is specifically intended for patients whose life expectancy is

A)2 years or less.
B)1 year or less.
C)6 months or less.
D)1 month or less.

Question 18

Basic tasks in planning for death include all of the following EXCEPT

A)making a will.
B)confronting people you dislike.
C)considering organ donation.
D)anticipating medical needs.

Question 19

Which of the following statements about a will is FALSE?

A)Making a will is a basic task everyone should attend to when planning for death.
B)Once a will is established,it cannot be legally altered or changed.
C)Dying without having made a will can cause unnecessary hardship for survivors.
D)A majority of Americans die without leaving a will.

Question 20

When supportive medical technologies are in use,the concept of _______________ is used to determine if someone is alive or dead.

A)brain death
B)clinical death
C)cessation of the flow of bodily fluids
D)cellular death

Question 21

A person appointed by a patient to make medical decisions for the patient if the patient is unable to do so is

A)an attorney.
B)a proxy.
C)a spouse.
D)a parent.

Question 22

The process of removing blood and other fluids and replacing them with chemicals to temporarily retard deterioration of a corpse is termed

A)entombing.
B)cremation.
C)embalming.
D)mummification.

Question 23

The "right to die" issue came to national attention in 1975 with the landmark case involving

A)Nancy Cruzan.
B)Karen Ann Quinlan.
C)Terri Schiavo.
D)Dr.Jack Kevorkian.

Question 24

One method of disposition of a corpse is to subject the body to intense heat,a process commonly known as

A)burial.
B)embalming.
C)entombment.
D)cremation.

Question 25

When a physician administers medication to relieve severe pain in a terminally ill patient,and the medication also hastens the patient's death,the situation is called

A)physician-assisted suicide.
B)passive euthanasia.
C)a double effect.
D)active euthanasia.

Question 26

The intentional termination of life at the patient's request by someone other than the patient is referred to as

A)involuntary euthanasia.
B)double euthanasia.
C)passive euthanasia.
D)voluntary euthanasia.

Question 27

The most common method of body disposal in the United States is

A)cadaver donation to medical schools.
B)mummification.
C)burial or cremation.
D)medical harvesting.

Question 28

Passed by Oregon voters in 1994,the Death with Dignity Act permits the use of

A)physician-assisted suicide.
B)involuntary euthanasia.
C)a health care proxy.
D)an advance directive.

Question 29

A condition of profound unconsciousness with no reasonable hope for improvement is known as

A)clinical death.
B)a coma.
C)brain death.
D)a persistent vegetative state.

Question 30

Most patients who receive hospice care do so

A)in a hospital.
B)in a nursing home.
C)in a hospice ward.
D)at home.

Question 31

Which of the following statements about living wills is FALSE?

A)They express wishes regarding medical care in case of incapacitation.
B)They require physician certification that a terminal condition exists.
C)They can be written to cover many different types of medical contingencies.
D)They differ in format from state to state.

Question 32

The doctrine that a harmful effect of treatment,even if it results in death,is permissible if the harm is not intended and occurs as a side effect of a beneficial action is the doctrine of

A)unintended effect.
B)palliative effect.
C)double effect.
D)fatal effect.

Question 33

What nearly universal piece of identification can be used to identify organ donors in many states?

A)library card
B)driver's license
C)Social Security card
D)military ID

Question 34

A doctor helping a patient hasten death-at the patient's request-by knowingly providing lethal drugs or other interventions is called

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

Question 35

As of 2016,voluntary active euthanasia was legal in

A)England.
B)Belgium.
C)Sweden.
D)France.

Question 36

An example of physician-assisted suicide is

A)withdrawing life-sustaining treatment such as artificial respiration.
B)a doctor allowing a terminally-ill patient's condition to run its course.
C)a doctor providing lethal medication to a patient at the patient's request.
D)a lethal injection of medication administered by the state.

Question 37

Which of the following statements about physician-assisted death is TRUE?

A)The physician always provides and administers the lethal drugs.
B)It is legal only in five states in the United States.
C)At the patient's explicit request,it allows a doctor to inject the patient with a fatal drug.
D)All of these statements are true.

Question 38

Active euthanasia is

A)withdrawing or withholding treatment.
B)a deliberate act intended to end another person's life.
C)legal throughout the United States.
D)commonly known as "letting nature take its course."

Question 39

A basic task of planning for death that is important for everyone is

A)attending a church or other place of worship.
B)finding long-lost relatives.
C)planning for after-death concerns such as organ donation and memorial services.
D)reconciling with estranged family members and friends.

Question 40

Involuntary euthanasia refers to the

A)patient's choice to end life.
B)ending of a patient's life by a medical practitioner without the patient's consent.
C)ending of a patient's life by a medical practitioner at the request of the patient's family.
D)ending of a patient's life by mistake.

Question 41

Which of the following is a helpful way in which bereaved people can cope with the intense feelings of grief is to

A)become isolated.
B)use denial to filter the shock of the death.
C)surround themselves with friends,family,animals,and plants.
D)get involved in activities that distract them.

Question 42

All of the following are stages of dying as defined by Kübler-Ross EXCEPT

A)denial.
B)vulnerability.
C)bargaining.
D)depression.

Question 43

People who view a life-threatening illness as a challenge usually exhibit all of the following EXCEPT

A)a fighting spirit.
B)a delusional sense of their own power.
C)an effort to inform themselves about their illness.
D)taking an active part in treatment decisions.

Question 44

Clinical death and cellular death are defined using the same criteria.

Question 45

The organization that is composed of parents who have lost their children is called

A)Parents Anonymous.
B)Grieving Moms and Dads.
C)Compassionate Friends.
D)We Care.

Question 46

Providing social support to a grieving person helps a survivor

A)make judgments about funeral arrangements.
B)determine his or her own need for professional help.
C)acknowledge the bad times as well as the good.
D)know that grief is appropriate and he or she is not forgotten.

Question 47

Psychiatrist Avery Weisman describes the time during terminal illness when the patient both sustains hope and acknowledges the reality of the disease as

A)the coping mechanism.
B)middle knowledge.
C)bargaining.
D)acceptance.

Question 48

What aspect of a burial process can be wildly expensive and sometimes involves an aggressive sales process by unscrupulous funeral homes?

A)the ceremony
B)the embalming process
C)the casket
D)the burial

Question 49

Identifying,developing,or reaffirming sources of meaning and fostering hope is characteristic of Charles Corr's dimension of _______________ coping.

A)physical
B)psychological
C)social
D)spiritual

Question 50

It is not unusual for a very young child to think of death as something that is reversible.

Question 51

After the initial phase of grief passes,the course of grief is next characterized by

A)numbness.
B)a sense of disbelief.
C)shock.
D)pain of separation.

Question 52

Bill's current condition can be described as

A)the active dying stage of a steady trajectory of dying.
B)the depression stage of imminent death.
C)the chronic phase of dying.
D)problem-based coping with dying.

Question 53

A patient's right to refuse treatment for an illness is constitutionally protected.

Question 54

The dimension of coping with dying that encompasses satisfying bodily needs,according to Charles Corr,is

A)physical.
B)psychological.
C)social.
D)spiritual.

Question 55

Rosie faces many challenges after Bill's death,including taking on tasks of daily living that Bill had handled,such as managing finances.Those tasks will be part of

A)bereavement.
B)the loss-oriented coping with death.
C)the restoration-oriented coping with death.
D)the initial stage of grief.

Question 56

The most definitive determination of death is cessation of respiration and heartbeat.

Question 57

Children usually gain an accurate understanding of the finality of death between the ages of 6 and 9.

Question 58

Individuals who hold a mature understanding of death commonly hold ideas that have no scientific proof.

Question 59

The type of care Bill is receiving is best described as

A)curative care.
B)hospital-based palliative care.
C)hospice care.
D)life-sustaining.

Question 60

A deceased organ donor is the only possible source of which of the following organs for donation?

A)single kidneys
B)whole lungs
C)partial intestines
D)partial pancreas

Question 61

A basic task in planning for death is anticipating medical care needs.

Question 62

A mature understanding of death eliminates anxiety about it.

Question 63

The case of Karen Ann Quinlan involved the withdrawal of life-sustaining treatment.

Question 64

A testamentary letter is a document that informs a dying person's survivors of various types of important personal information,such as bank accounts,the location of keys,and the names of people who should be notified of the death.

Question 65

American culture amuses itself with unrealistic portrayals of death.

Question 66

Many people seek to avoid any thought or mention of death.

Question 67

An advance directive should state both what one wants and what one does not want when conveying wishes about medical care.

Question 68

The most notorious example of involuntary euthanasia is the medical killing program of the Nazi regime.

Question 69

Double effect refers to a situation in which a beneficial health care action may have unintended harmful side effects.

Question 70

Rejection is a possible problem in transplants from deceased organ donors.

Question 71

If you decide to donate your organs after death,you should be sure to discuss this decision with your family.

Question 72

The two forms of advance directives are a living will and a heath care proxy.

Question 73

If you complete a Uniform Donor Card,your organs will automatically be donated at the time of your death.

Question 74

The practice of withholding treatment that could potentially sustain life is referred to as active euthanasia.

Question 75

Physician-assisted suicide and active euthanasia are the same thing.

Question 76

Palliative care is a form of acute care focused on curative efforts.

Question 77

Another name for a health care proxy is a durable power of attorney.

Question 78

One important aspect of hospice care is to counsel family members after a patient's death.

Question 79

Avoidance or denial of death allows individuals to better acknowledge the inevitability of death.

Question 80

The case of Terri Schiavo in 2003 demonstrated that indicating in writing one's own preferences regarding life-sustaining treatment,in advance of being incapacitated by illness or injury,has little value.