Question 1

Which of the following is true about death and dying?

Accepted Answer

Many people express a desire for "death with dignity," which involves being able to control their own end-of-life care and decisions.

Answer: B
 Research shows that about 50 percent of people who die do so in a peaceful and gentle manner, often with loved ones present.

Answer: C
 The dying person is not simply a physical being, but a whole person who requires care for their physical, emotional, and psychological needs.

Answer: None of the above for option D
 The dying often benefit from social support and connection with loved ones, as well as access to palliative care and other medical resources. A withdrawal of social support in the end could actually make the dying process more difficult and isolating.

Question 2

__________ are the most challenging death subconcepts for most young children.

Accepted Answer

C

Question 3

An understanding of death is based in part on the subconcept of __________,in which all living functions,including thought,feeling,movement,and bodily processes,cease at death.

Accepted Answer

Nonfunctionality refers to the concept that all living functions cease at death, which is a fundamental part of understanding what death entails.

Question 4

In most industrialized nations,donated organs can be removed __________.

Accepted Answer

In most industrialized nations, donated organs can only be removed when all brain activity ceases, known as brain death. Agonal phase of death, when the heart is still beating irregularly, is not considered appropriate for organ donation. Similarly, cessation of heartbeat or respiration alone may not meet the criteria for brain death and would not be suitable for organ donation.

Question 5

In the days or hours before death,__________.

Accepted Answer

As the body begins to shut down, blood circulation slows down, resulting in decreased warmth in the hands and feet, and they may feel cool to the touch. A and D are incorrect as body temperature and blood pressure tend to drop before death, and B is incorrect as the skin may become paler or cyanotic (blue-grey) due to reduced blood flow.

Question 6

During which stage of death does the individual pass into permanent death?

Accepted Answer

The answer of During which stage of death does the...

Question 7

Nurse Elena wants to do all she can to help her terminally ill patients.She can accomplish this by __________.

Accepted Answer

Nurse Elena can best help her terminally ill patients by assisting them in gaining knowledge about their condition to enable them to make informed decisions about their treatment options. This can help patients have a sense of control and clarity in their final phase of life. Providing pain medication is important, but it is not enough. Shielding patients from the reality of their condition or minimizing their control over the final phase of life can potentially worsen their emotional and psychological well-being. Discussions about death's certainty are also important but should be conducted with sensitivity and in a way that takes the patients' wishes into account.

Question 8

After 5-year-old Jimena's grandmother died,she had difficulty sleeping because she was afraid that her stuffed rabbit would die during the night.Jimena is having trouble understanding the death subconcept of __________.

Accepted Answer

The answer of After 5-year-old Jimena's grandmother died,she had difficulty...

Question 9

Because preschoolers see evidence for these subconcepts of death in everyday situations,__________ are generally understood early.

Accepted Answer

According to the sentence, preschoolers see evidence for nonfunctionality and finality in everyday situations, which suggests that these subconcepts of death are generally understood early. Therefore, option A (nonfunctionality and finality) is the best choice. Options B, C, and D are incorrect because they include subconcepts that are not mentioned in the sentence as being understood early by preschoolers.

Question 10

Biyu was in a skiing accident.She suffered traumatic head injuries when she came in contact with a tree.Biyu's cerebral cortex no longer registers electrical activity,but her brain stem remains active.Biyu __________.

Accepted Answer

Biyu is in a persistent vegetative state, which means she has lost all cognitive function and is unaware of her surroundings. Her brain stem remains active, which allows her to continue breathing and having a heartbeat, but her cerebral cortex, which controls consciousness and higher brain functions, is no longer functioning. This is different from being legally dead or experiencing the agonal phase of death, as Biyu's body is still alive but her brain function is severely compromised. However, different countries have different definitions of death, so it is difficult to say whether she is considered dead under the definition used in most industrialized nations.

Question 11

Which of the following is true about how we die?

Accepted Answer

The idea of dignity in death is not tied to the manner of death, but rather to the quality of the life that precedes it. This is a commonly accepted idea in end-of-life discussions and is therefore true.

Answer: B 
 This statement is false. Societies do need a definition of death to determine when it is appropriate to terminate life-sustaining interventions, declare legal death, and maintain organ viability for donation.

Answer: C 
 This statement is false. Brain death can be a controversial standard, and different cultures and religions have different beliefs about when death occurs. Furthermore, there are cases in which people with severe brain injury have recovered, leading to questions about the accuracy of the brain death standard.

Answer: D 
 This statement is false. Medical science cannot guarantee an idealized, easy end to life. While palliative care and hospice services can alleviate pain and suffering, death itself remains a natural and unpredictable process.

Question 12

Noah understands that his dog and cat will eventually die.However,he says that his mom and dad will live forever.Noah is having trouble understanding the death subconcept of __________.

Accepted Answer

The concept of universality refers to the understanding that death is a universal experience that happens to all living things, including parents and other loved ones. Noah seems to be struggling with this concept as he believes his parents will live forever.

Question 13

Which of the following is an essential ingredient of a "good death"?

Accepted Answer

Offering the dying person care, affection, companionship, and esteem is an essential ingredient of a "good death." This allows the person to feel supported and loved during their final moments, which can bring comfort and peace. Hiding the truth from the dying person or focusing solely on the present and ignoring the past and future can potentially create more distress and anxiety for the individual. Additionally, making sure that the medical staff uses all possible life-saving measures may not align with the individual's wishes for their end-of-life care.

Question 14

Terminally ill Ms.Padgett has a buildup of fluid in her throat,which is causing a rattled breathing sound.As her heartbeat disintegrates,her muscles spasm and she gasps.Ms.Padgett is experiencing which phase of death?

Accepted Answer

The agonal phase is characterized by irregular gasping, muscle spasms, and a rattled breathing sound as the body's systems begin to shut down. This is the final phase before clinical death occurs, making choices A and B incorrect. Mortality is a general term for the state of being subject to death and not specific to any particular phase of the dying process.

Question 15

Three-year-old Tristan finds a dead fish on the beach.Although he says that the fish is dead,he asks,"When is the fish going to get up and swim?" Tristan is having trouble understanding the death subconcept of __________.

Accepted Answer

Tristan's question about when the fish is going to get up and swim suggests that he does not understand that death is a permanent and irreversible state. This lack of understanding is related to the subconcept of finality.

Question 16

Following Mr.Fernandez's automobile accident,the doctor informs his family that there has been an irreversible cessation of all activity in the brain and the brain stem.Mr.Fernandez has experienced __________.

Accepted Answer

The scenario is describing brain death, which is the irreversible and permanent loss of all brain function, including the brain stem. This differs from clinical death (temporary cessation of heart and lung function) and the agonal phase of death (final phase of the dying process). Mortality refers to the state of being subject to death.

Question 17

During the clinical death phase,__________.

Accepted Answer

During the clinical death phase, the individual experiences the cessation of heartbeat, circulation, breathing, and brain function. This phase is reversible with resuscitation intervention. If resuscitation efforts are not successful, the individual will progress into permanent death. The brain stem is still functional during this phase, allowing for the possibility of resuscitation.

Question 18

Death __________.

Accepted Answer

Death is a process in which organs stop functioning in a sequence that can vary from person to person. While the cessation of heartbeat and respiration are important markers of death, they alone do not define death. Additionally, the timing and sequence of organ failure can vary, leading to differences in the process of dying between individuals. There is no universally accepted definition of death, although the cessation of activity in the brain and brain stem is one widely used criterion.

Question 19

Most people in the developed world __________.

Accepted Answer

Most people in the developed world die in hospitals, where doctors and nurses attend their last moments. This is due to advances in medical technology, which allows for life-saving interventions and medical care to be provided in a hospital setting.

Question 20

Which statement is true about attitudes toward death?

Accepted Answer

The statement "Today many people reach adulthood without having experienced the death of someone they know well" is true according to research studies on attitudes toward death.

Quiz 19: Death, dying, and Bereavement