Exam (elaborations)
Chapter 17 Death, Dying, and Grieving
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Chapter 17 Death, Dying, and Grieving
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17Student:
1. People, places or contexts, times, objects, and symbols are all components of a culture's death
A. stages.
B. system.
C. prevention strategy.
D. definition.
2. Memorial Day in the United States and the Day of the Dead in Mexico are part of which death system
component?
A. places
B. times
C. objects
D. symbols
3. Which of the following religions believes in reincarnation?
A. Evangelical Christian
B. Catholic
C. Mormon
D. Hindu
4. What do members of the Gond culture of India believe causes death?
A. magic and demons
B. natural forces
C. a supreme being
D. selective fate
5. Differences between the Gond culture of India and the Tanala culture of Madagascar highlight the fact
that
A. the reaction to death is influenced by the perception of its causes.
B. the perception of death is influenced by lifestyle.
C. the reaction to death is influenced by age.
D. the perception of death is influenced by its relationship to the victim.
6. In contrast to those of many other cultures, people in the United States
A. are death avoiders and death deniers.
B. have deeper religious beliefs associated with death.
C. have a greater exposure to rituals associated with death.
D. experience a greater sense of loss when a family member dies.
7. U.S. culture uses euphemistic terms for death. This is an indication of
A. reverence.
B. denial.
C. naïveté.
D. anger.
8. Using all the life-prolonging methods possible, even in the face of certain death, is a sign of
A. denial of death.
B. medical advancement.
C. an intolerance of euthanasia.
D. naïveté.
,9. Which of the following is an unintended consequence of the medical community's emphasis on
prolonging life?
A. Children learn to fear growing older and dying.
B. Older adults have unrealistic expectations about what the quality of their life will be.
C. Chronically ill patients have time to plan a funeral.
D. It allows people to deny or avoid the certainty of death.
10. Two hundred years ago, approximately what percentage of children died before the age of 10?
A. 50 percent
B. 60 percent
C. 30 percent
D. 20 percent
11. What was the life expectancy in the United States in 1900?
A. 39 years
B. 47 years
C. 54 years
D. 61 years
12. What is the life expectancy in the United States today?
A. 69 years
B. 73 years
C. 78 years
D. 84 years
13. Bob is dying of cancer. He will MOST likely die
A. at home.
B. in a hospice.
C. in a hospital or institution.
D. under the care of a family member.
14. Velma lives in the United States and is nearing the end of her life. Where is she MOST likely to die?
A. at home
B. in a hospice facility
C. in a hospital
D. in the home of one of her children
15. Twenty-five years ago, definitions of death centered on
A. neurological signs.
B. breathing and blood pressure.
C. electrical activity in the brain.
D. behavioral responses.
16. If all electrical activity of the brain has ceased for a specified period of time, an individual is
A. brain dead.
B. biologically dead.
C. psychologically dead.
D. dead.
17. Which portions of the brain die first?
A. lower
B. middle
C. higher
D. All portions die at the same time.
,18. Most physicians define death as the cessation of function in the portion of the brain.
A. lower
B. middle
C. higher
D. higher and lower
19. Gary was in a serious automobile accident. The physician informs the family that Gary is brain dead.
What does this mean?
A. Electrical activity in the lower portions of Gary's brain has ceased.
B. Electrical activity in the higher portions of Gary's brain has ceased.
C. Electrical activity in the higher and lower portions of Gary's brain has ceased.
D. The physician will allow the family to elect active euthanasia.
20. When higher cortical functioning is lost, what aspects of life are gone?
A. electrical brain activity
B. feeling in lower extremities
C. respiration and heartbeat
D. intelligence and personality
21. Beth has late-stage terminal cancer. She understands which procedures she is willing to endure and which
ones she does not want to undergo. How can Beth best communicate her desires to her physician and
family?
A. Beth should wait until she is nearly incapacitated to make any treatment decisions.
B. Beth should tell her doctor on her next visit what she has decided.
C. Beth should prepare a living will or advanced directive and share it with her family and doctor.
D. Beth can assume that her husband's judgment will mirror hers and turn the decision making over to
him.
22. Which of the following refers to individuals' rights to determine whether extraordinary means should be
used to keep them alive?
A. euthanasia
B. durable power of attorney
C. allowing termination of life support in the event of brain death
D. living will
23. Arnold has signed an advanced directive. This means that his
A. physician can disconnect him from life-sustaining equipment.
B. immediate family has legal control over his care.
C. family is allowed to engage in active euthanasia.
D. physician is required to do everything possible to keep him alive.
24. Euthanasia that occurs by withholding available treatment is termed
A. passive.
B. active.
C. overt.
D. covert.
25. Euthanasia that occurs when death is deliberately induced is termed
A. passive.
B. active.
C. overt.
D. covert.
26. Marilyn suffers a severe stroke and irreversible brain damage. Her husband decides to remove all life
support and, subsequently, Marilyn dies. This is an example of
A. active euthanasia.
B. passive euthanasia.
C. apathetic euthanasia.
D. acceptable homicide.
, 27. Dr. Jack Kevorkian is well known for his support of and participation in
A. the cortical death policy.
B. California's Natural Death Act.
C. passive euthanasia.
D. active euthanasia.
28. Which state allows active euthanasia?
A. Oregon
B. Michigan
C. Alaska
D. Texas
29. Patricia, who lives in Texas, is dying of cancer, which gives her severe pain. Which of the following
MOST likely is true?
A. Patricia will die at home surrounded by loved ones.
B. Patricia has been told how long she is likely to live.
C. Even though painkillers are available, Patricia still experiences severe pain.
D. Patricia will be able to receive physician-assisted suicide if she signs the appropriate legal medical
documents.
30. Modern care providers are concerned with helping individuals experience a "good death," which
generally includes all of the following EXCEPT
A. privacy from loved ones.
B. physical comfort.
C. acceptance.
D. appropriate medical care.
31. What is the goal of palliative care?
A. cure illness
B. restore cortical functioning
C. reduce pain and suffering and help individuals die with dignity
D. prolong life
32. Hospice is a program designed to
A. cure illness and prolong life.
B. make the end of life as free from pain and anxiety as possible.
C. provide a place where people with no living relatives can die.
D. lower the cost of medical care by competing with hospitals.
33. Shane knows he will die soon. He is ready to go but wants to die with dignity and little suffering. Which
of the following would be a good fit with his desires?
A. herbal remedies and pain relief
B. hypnosis for pain control
C. hospital and physician care
D. hospice care
34. What is the most common cause of infant death in the United States?
A. sudden infant death syndrome (SIDS)
B. birth defects
C. secondhand smoke
D. car accidents
35. SIDS refers to the death of an infant
A. who had severe neurological injuries.
B. from a virulent salmonella infection.
C. from septic intravenous respiratory failure.
D. with no apparent health problems.
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