Ch. 12
10. (p. 234) In the age group of 15 to 24, the homicide rate among black males is nearly _____ times that of young white males. A. three B. six C. seven D. nine
b
13. (p. 235) The main cause of premature death in adulthood is sudden death due to: A. accidents. B. heart attack. C. AIDS. D. homicide.
b
14. (p. 235) Which of the following is a disadvantage of premature death in adulthood? A. It causes physical deterioration and results in the loss of mental faculties. B. It does not allow people to prepare their exit. C. It is always extremely painful and mutilating. D. It emotionally torments the family by making it witness the person's worsening condition.
b
17. (p. 236) Which of the following factors contribute to women's lower mortality rates? A. They participate in less group activities. B. They possess more biological fitness. C. They engage in more risky behaviors. D. They experience less social support.
b
19. (p. 238) The Patient Self-Determination Act: A. applies only to hospice patients. B. gives importance to the patients' wishes. C. legalizes the process of passive euthanasia. D. supports the terminally ill financially.
b
2. (p. 232) Countries with low infant mortality rate: A. have higher pregnancy death rates. B. provide free or low-cost maternal care. C. provide poor prenatal care for the mother. D. have flexible birth control policies.
b
22. (p. 239) A living will outlines: A. a patient's wishes to undergo euthanasia. B. a patient's request that extraordinary life-sustaining procedures are not be used. C. the conditions under which a patient requests to remain alive. D. the disposition of the terminally ill patient's belongings after his or her death.
b
3. (p. 233) In the first year of life, the main causes of death are: A. acute illness and SIDS. B. SIDS and congenital abnormalities. C. accidents and congenital abnormalities. D. cancer, especially leukemia, and SIDS.
b
31. (p. 242) According to Kübler-Ross, the dying patient who is coming to terms with his or her lack of control is experiencing: A. denial. B. depression. C. bargaining. D. acceptance.
b
4. (p. 233) Epidemiologic studies reveal that SIDS is more likely to occur: A. in upper-class urban environments. B. if the mother smoked during her pregnancy. C. if the baby is put to sleep on its back. D. in upper-class rural environments.
b
40. (p. 243) Which of the following guidelines must be followed by the medical staff who work with the dying? A. Helping the patients to live as long as possible B. Informing the patients of their condition and treatment C. Removing the restrictions on family and friends visits D. Avoiding the involvement of patients in their treatment
b
42. (p. 244) Those who study death and dying are called _____. A. grief assistants B. thanatologists C. geriatricians D. epidemiologists
b
45. (p. 244) Terminally ill children: A. are unable to understand most information relevant to their medical condition and treatment. B. use cues from their treatment and others' responses to infer the nature of their medical condition. C. generally believe that they will soon recover and go home. D. do not hesitate to express their concerns and questions directly to others.
b
5. (p. 233) Poor adjustment for parents of children who have died from SIDS is associated with: A. maternal smoking. B. self-blame. C. socioeconomic status. D. acute illness.
b
50. (p. 245) Competent home care for the terminally ill requires: A. little training of family members. B. regular contact between medical personnel and family members. C. availability of around-the-clock professional nursing. D. trained staff to interact with patients in an emotionally caring way.
b
51. (p. 246) Cultural differences have been found in beliefs about: A. children's understanding of death. B. death-related ceremonies. C. working through stages of dying. D. various causes of death.
b
52. (p. 247) The grief response appears to be more aggravated in: A. women and those who experience expected loss. B. men and those who experience sudden and unexpected loss. C. survivors whose family members have experienced a protracted and painful death. D. young children who experience the death of a sibling.
b
7. (p. 234) Walt's parents have explained to him that his grandmother has died. He keeps asking them questions about her death and develops a belief that she has become a ghost. Walt is most likely to be: A. four years old. B. six years old. C. ten years old. D. twelve years old.
b
9. (p. 234) The major cause of death in the age group 15 to 24 is: A. leukemia B. unintentional injury C. heart attack D. SIDS
b
1. (p. 232) The infant mortality rate in the United States: A. is lower than that in most western European countries. B. is twice as high for white infants as for black infants. C. is the same for white infants and black infants. D. is higher than that in most western European countries.
d
18. (p. 237) Which of the following factors predicts mortality in the elderly age group? A. Close family relationships B. Reduced terminal illness C. Strong mental health D. Reduced life satisfaction
d
20. (p. 238) Which of the following is true of euthanasia and assisted suicide? A. Euthanasia is a crime punishable by up to 12 years in prison in the U.S. B. Physician-assisted dying is not legally permitted in any of the states in the U.S. C. Acutely ill patients often request for euthanasia or assisted suicide. D. Receptivity to euthanasia and assisted suicide has increased in the U.S.
d
21. (p. 238) Ending the life of a person who is suffering from a painful terminal illness is called _____. A. hospice B. palliative care C. curative care D. euthanasia
d
27. (p. 241-242) The correct order of Kübler-Ross's stages of adjustment to dying is: A. depression, anger, bargaining, denial, and acceptance. B. denial, anger, bargaining, acceptance, and depression. C. denial, bargaining, anger, depression, and acceptance. D. denial, anger, bargaining, depression, and acceptance.
d
29. (p. 241) Long-term denial of impending death: A. enables people to accept the implications of an illness.. B. does not require medical intervention. C. has a positive effect on the acceptance and realization of death. D. requires psychological intervention.
d
30. (p. 241) According to Kübler-Ross, the dying patient who asks "why me?" is experiencing: A. anxiety. B. bargaining. C. denial. D. anger.
d
32. (p. 242) A depressed terminally ill patient will: A. constantly ask the question "why me?" B. try to strike a bargain with god by doing a charitable activity. C. act as if the illness is not severe. D. come to terms with a lack of control.
d
36. (p. 242) According to Turk and Feldman (1992a, 1992b), the hospitalized terminally ill patient runs the risk of being _____ by the medical staff. A. ignored B. isolated C. overmedicated D. under medicated
d
37. (p. 243) Which of the following is an example of curative care? A. Giving a massage for a stiff neck B. Bathing a patient C. Feeding a patient D. Giving a cast for a broken limb
d
38. (p. 243) Salim is a terminally ill patient who is being treated in a hospital. The hospital staff are warm and supportive. They make him feel comfortable by bathing and feeding him every day. In this case, the staff are providing _____. A. intensive care B. acute care C. curative care D. palliative care
d
39. (p. 243) Palliative care involves: A. final attempts to cure the terminally ill patient. B. life-prolonging interventions such as placing the patient on a respirator. C. ending the life of a patient who is suffering from a painful terminal illness. D. custodial work designed to make the patient feel comfortable.
d
46. (p. 245) Hospice care is aimed at achieving: A. reduced personal attention. B. curative care. C. restricted social support. D. palliative care.
d
47. (p. 245) Evaluations of hospice care indicate that, compared to patients who receive traditional treatment, hospice patients: A. live longer. B. receive more invasive procedures. C. report higher levels of anxiety. D. receive more interpersonal care.
d
11. (p. 235) Which of the following is true of terminally ill young adults? A. Medical staff often find it difficult to work with them. B. Medical staff find it easier to work with them. C. The biological competitors for death are more for them D. The biological competitors for death are absent for these patients.
a
12. (p. 235) One of the important contributing factors to midlife crisis is the: A. gradual realization of impending death. B. growing awareness that one's risk factors for chronic illness are diminishing. C. cultural emphasis placed on youth. D. declining importance middle-aged adults place on their work.
a
25. (p. 240) As a patient's prognosis worsens, interpersonal communications often deteriorate. The reasons for this breakdown are generally due to: A. the belief that others do not want to talk about death. B. long-term communication problems in the family. C. indifference among medical staff members. D. the loss of optimism among family members.
a
26. (p. 240) Patients are less likely to turn to alternative treatments when they are satisfied: A. with the interpersonal aspects of their medical care. B. with the technical aspects of their medical care. C. that the costs of medical care can be borne by their families. D. that the medical establishment can do nothing more to improve their condition.
a
35. (p. 242) According to critics, Kübler-Ross's theory fails to acknowledge the frequency with which dying patients experience: A. anxiety. B. enhanced perceptions of control. C. depression. D. social support.
a
41. (p. 244) Therapy with the dying differs from traditional psychotherapy in that it is likely to: A. depend on the energy level of the patient. B. continue for a long-term. C. avoid adhering to patients' wishes. D. follow a fixed schedule of appointments.
a
43. (p. 244) Researchers on death have suggested that cognitive-behavioral therapies like _____ can be effectively employed with dying patients. A. positive self-talk B. self-monitoring C. systematic desensitization D. intense muscle exercises
a
44. (p. 244) Which of the following is true of terminally ill children? A. They often know more about their situation than they are given credit for. B. They are incapable of inferring their health condition from people around them. C. They express their knowledge, concerns, or questions about the illness directly. D. They are easy going and less stressful to work with.
a
49. (p. 245) According to the research cited in the text, a substantial percentage of terminally ill patients prefer: A. home care. B. hospice care. C. traditional hospital care. D. skilled nursing facilities.
a
53. (p. 247) Among women who are depressed in widowhood, _____ appear(s) to be the biggest burden. A. financial strain B. loneliness C. household management problems D. instrumental needs
a
15. (p. 236) The death rate among middle-aged adults has declined largely because of a 60 percent drop in: A. stroke. B. heart disease. C. lung cancer. D. homicide.
c
16. (p. 236) Death in the elderly is: A. unlikely to be caused by psychosocial factors. B. unlikely to be caused by degenerative diseases. C. likely to be caused by general physical decline. D. likely to be caused by only one biological competitor.
c
23. (p. 240) Which of the following is true of the psychological and social issues related to dying? A. Advancing illness enables patients to present themselves effectively. B. Communication opens up as the treatment becomes more drastic. C. Patients gradually begin a process of social withdrawal. D. Family members cheerfully elicit information from medical staff.
c
24. (p. 240) Emotional and social withdrawal in terminally ill patients is: A. successfully treated with antidepressants. B. always due to anticipatory grieving. C. an expected and common occurrence. D. a symptom of recovery from illness.
c
28. (p. 241) Lazarus (1983) argues that _____ early on in adjustment to life-threatening illness is both normal and useful. A. anxiety B. bargaining C. denial D. anger
c
33. (p. 242) Naomi, diagnosed with Alzheimer's disease, knows that she will die soon. She is now deciding on how to divide up her possessions and how to say goodbye to old friends and family members. According to Kübler-Ross's theory, she is in the _____ stage. A. denial B. depression C. acceptance D. bargaining
c
34. (p. 242) Kübler-Ross's theory of death and dying: A. accurately identifies the stages of the dying process. B. acknowledges the importance of death-related anxiety. C. breaks the taboo surrounding death. D. describes the effect of death on survivors.
c
48. (p. 245) Hospices: A. are treatment models with limited success rates. B. are seldom affiliated with hospitals due to fears of malpractice litigation. C. are increasingly being incorporated into traditional treatment. D. are providing lesser individualized care than home care.
c
54. (p. 248) When young children experience the impending death of a sibling, the best approach is: A. to give no explanation to them about death. B. to provide extensive detail about the cause of death. C. to inform them in advance about the impending death. D. to wait until the death occurs and provide information later.
c
55. (p. 248) Which of the following statements is true of death education? A. It is unessential as most of the cultures consider death as a taboo topic. B. It must be imparted only to the college students. C. It is necessary as it creates awareness about the kind of care the dying want. D. It is mandatory as it provides encouragement for self-destructive leanings.
c
6. (p. 133) After infancy, the main cause of death among children younger than age 15 is: A. acute illness. B. SIDS. C. accidents. D. cancer, especially leukemia.
c
8. (p. 234) Children typically do not attain an adult understanding of death until: A. the age of five. B. age six or seven. C. age nine or ten. D. adolescence.
c