Chapter 19 Quiz Questions

Isabella's mother died in May, her father in July, and her sister in November. Isabella is at risk for ___________. - anticipatory grieving - disenfranchised grief - bereavement overload - restorative mourning p. 668

- bereavement overload

In instances of sudden, unexpected deaths, _____________may be especially pronounced. - avoidance - anticipatory grieving - mourning - restoration p.666

- avoidance

In instances of sudden, unexpected deaths, ____________may be especially pronounced. - avoidance - anticipatory grieving - mourning - restoration p.666

- avoidance

Intense physical and psychological distress following the loss of a loved one.

Grief

_____________ is/are criminal in all U.S. states. - Living wills - Voluntary euthanasia - Health-care proxies - Medical aid-in-dying P.664

- Voluntary euthanasia

Geraldine's husband died two years ago, just after she turned 81. Which statement is most likely true? - Geraldine still displays many negative outcomes. - The loss profoundly disrupted Geraldine's life goals. - After a period of intense grieving, Geraldine is faring well. - Geraldine is experiencing disenfranchised grief. p. 667

- After a period of intense grieving, Geraldine is faring well.

In ____________ , terminally ill patients are often not told the truth of their prognosis, out of concern that telling might disrupt family relationships and harm patients' well-being. - the United States and Canada - Australia and New Zealand - Northern and Western Europe - China, Korea, and Japan p.655

- China, Korea, and Japan

Which statement is true about a home death? - Evidence consistently shows that home deaths are associated with less pain and increased satisfaction. - Families usually need a specially trained home health aide to provide support for the caregiver. - Evidence consistently shows that home deaths reduce distress for family members. - With professional help, most homes are well-equipped to handle the medical and comfort-care needs of the dying. P.657

- Families usually need a specially trained home health aide to provide support for the caregiver.

Which statement is true about hospice care? - On-call services are usually available from 7 AM to 7 PM, Monday through Friday. - Hospice programs do not typically provide palliative care. - Follow-up bereavement services are typically offered to families in the year after a death. - The patient is kept in a hospital-like setting where end-of-life medical intervention is likely. p.658

- Follow-up bereavement services are typically offered to families in the year after a death.

Which 6-year-old child is the most likely to have an adultlike grasp of death? - Max, who lives on a kibbutzim in Israel - Minh, whose religion emphasizes reincarnation -Ayanna, whose religion emphasizes an afterlife -Finn, age 5, who is European American p.649

- Max, who lives on a kibbutzim in Israel

Which of the following is true about death and dying? - Most people say they want "death with dignity. - For about 50 percent of people, death is gentle. - The dying person is merely a physical being requiring care. - The dying benefit from a withdrawal of social support in the end. p.646

- Most people say they want "death with dignity.

Family members who play the denial "game" __________________ . - are often brutally candid with dying patients - can make dying more difficult for patients - can help patients die with dignity - help patients preserve family relationships p.655

- can make dying more difficult for patients

People who are _______________ are likely to have more severe death concerns. - religious - depressed - in poor physical health - high in self-regulation p.652

- depressed

When Suzanne, Billie Jo's partner of 20 years, was dying, Suzanne's family barred Billie Jo from the hospital. And when Suzanne died, they prevented Billie Jo from attending the funeral. Consequently, Billie Jo may experience ____________ . - anticipatory grieving - disenfranchised grief - bereavement overload - emotional anesthesia p. 668

- disenfranchised grief

Most terminally ill people who reach Kübler-Ross's acceptance stage _____________._ - use emotion-centered coping strategies - have a deep religious faith - do so soon after learning of their condition - disengage from all but a few family members p.653

- disengage from all but a few family members

Typically, adolescents _____________ . - do not believe that death can happen at any time - do not understand that all things eventually die - have a fully mature understanding of death - do not take death personally p.650

- do not take death personally

Women typically _________________ men. -express distress less directly than -seek social support less readily than - express depression more directly than -express their grief in the same way as p.666

- express depression more directly than

Dying patients who _______________ are more anxious about impending death. - have a lot of family contact during their illness - work through at least some incomplete tasks - feel they have much unfinished business to attend to - grant and seek forgiveness for past hurts p.655

- feel they have much unfinished business to attend to

Death education is __________________________________. -primarily geared toward medical professionals -associated with increased death anxiety -unsuitable for university students - found in many community adult education programs p. 671

- found in many community adult education programs

Death education is_______________. - primarily geared toward medical professionals - associated with increased death anxiety - unsuitable for university students - found in many community adult education programs p. 671

- found in many community adult education programs

Elisabeth Kübler-Ross's theory ___________. - should be viewed as a fixed sequence - is universal and linear - has been heavily criticized - is best viewed as five stages of death and dying p.653

- has been heavily criticized

Nurse Elena wants to do all she can to help her terminally ill patients. She can accomplish this by _________ . - providing pain medication and assuring her patients that they are going to recover soon - talking to patients' families about death's certainty, but shielding the patients from that information - helping her patients learn enough about their condition to make reasoned choices about whether to fight on or end treatment - avoiding discussions about the past and minimizing her patients' personal control over the final phase of life p.647-648

- helping her patients learn enough about their condition to make reasoned choices about whether to fight on or end treatment

When their mother was diagnosed with terminal cancer, the Johnson family chose to care for her at home using a comprehensive program of support services that provided an interdisciplinary care team. The team emphasized quality of life with palliative care. The Johnson family chose the ____________ approach. - home health - hospice - home hospital - long-term care P.658

- hospice

For a dying person, profound depression ______________. - impairs the immune response - inhibits pain and suffering - is associated with increased survival - does not respond to treatment P.654

- impairs the immune response

United States and other Western nations, ___________when doctors engage in voluntary euthanasia with patients near death and suffering profoundly, _____________ . -about 70 percent of the population disapproves -judges are usually strict, sentencing them to jail terms -they often do so without the patient's consent - judges are usually lenient, granting suspended sentences or probation p.664

- judges are usually lenient, granting suspended sentences or probation

During which stage of death does the individual pass into permanent death? - mortality - clinical death - brain death - the agonal phase p.646

- mortality

In a living will, ________________________________. -patients can guarantee that doctors will follow their wishes with regard to life-sustaining interventions - people can anticipate all future medical conditions and state their wishes in each case, including persistent vegetative states - people specify the treatments they do or do not want in case of a terminal illness, coma, or other near-death situation - people appoint a friend or relative to act as their proxy, authorizing the proxy to make health-care decisions on their behalf p.661

- people specify the treatments they do or do not want in case of a terminal illness, coma, or other near-death situation

Palliative care ___________ . - relieves pain and other symptoms rather than prolonging life - includes the provision of life-saving measures, such as respirators - involves emergency room treatment and aggressive medical intervention - emphasizes rehabilitation rather than high-quality terminal care P.658

- relieves pain and other symptoms rather than prolonging life

One way to foster an accurate appreciation of death is to ___________ . - shield children from media depicting death - avoid exposing children to symbols of death - teach young children about human biology - teach children that death is not final P.649-650

- teach young children about human biology

Adjusting to a sudden death is easier when the survivor - understands the reasons for it. - does not have to watch the loved one suffer. - believes that it was random. - assumes that it was preventable. p. 666

- understands the reasons for it.

In both Eastern and Western cultures, appear more __________ anxious about death than ________do. -older adults; younger adults - women; men -religious adults; non-religious adults - people who have trouble with inhibition; people who are good at inhibition. p.652

- women; men

Typically, adolescents ____________________ . - do not believe that death can happen at any time - do not understand that all things eventually die - have a fully mature understanding of death -do not take death personally p.650

-do not take death personally

Acknowledging that loss is inevitable and preparing emotionally for it.

Anticipatory grieving

The experience of losing a loved one by death.

Bereavement

When a person experiences several deaths at once or in close succession.

Bereavement overload

Which statement is true about death education? -In the past two decades, there has been a decrease in college and university courses in death and dying. -Death education improves students' ability to communicate effectively with others about death-related concerns. -Death education is rarely integrated into the training of students studying counseling, nursing, or medicine. -Few death education courses touch on social and ethical issues such as medical aid-in-dying and organ donation. p.670-671

Death education improves students' ability to communicate effectively with others about death-related concerns.

Effective coping requires people to oscillate between dealing with the emotional consequences of loss and attending to life changes, which have restorative, or healing, effects.

Dual-process model of coping with loss

After Aaron's death, his children cut a black ribbon and pinned it to their clothing. At home, they lit a memorial candle, which burned throughout shiva, a seven-day mourning period. Aaron was probably ____________________. -Quaker -Jewish -Kalash -African American p. 669

Jewish

The culturally specified expression of the bereaved person's thoughts and feelings.

Mourning

Which statement is true about parents grieving the loss of a child? -Compared to mothers, fathers report more intense distress. -The divorce rate is lower among bereaved parents than other parents. -Risk of marital breakup following the loss of a child tends to strengthen over time. -Most parents who have lost a child report distress that resolves within a few months. p.666-667

Risk of marital breakup following the loss of a child tends to strengthen over time.

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 __________________________ . -nonfunctionality -finality -universality -applicability p.648

applicability

Kiri is a member of the Maori tribe of New Zealand. As she lies dying, the older adults, clergy, and experts in tribal customs will probably ________________ . -conduct a karakia ceremony -chant sutras to calm her mind -discourage her from giving away her belongings -encourage her to meet death with stoic self-control P.656

conduct a karakia ceremony

In many Native-American groups, __________________________. -death is met with stoic self-control -family members chant sutras to the dying to calm the mind -an illness is viewed as a crisis that unites family members -a karakia ceremony is conducted to ask the creator for peace p.656

death is met with stoic self-control

Most people in the developed world _______________________________ . -have many opportunities to witness the physical aspects of death -die at home, where family members and loved ones attend their last moments - do not want to know how we die because they do not anticipate their own end -die in hospitals, where doctors and nurses attend their last moments p.646

die in hospitals, where doctors and nurses attend their last moments

Adults can help teenagers build a bridge between death as a logical concept and their personal experiences by . -presenting them with notions of death that challenge logic -eminding them that their uniqueness is beyond the reach of death -encouraging them to discuss their concerns about death -offering comforting statements such as "our pet went to live on a farm" p.650

encouraging them to discuss their concerns about death

Dr. Summers helps terminally ill patients take their own lives by enabling the patients to swallow or inject a lethal dose of drugs. Dr. Summers practices _______________________. -involuntary euthanasia -medical aid-in-dying -voluntary euthanasia -ending life-sustaining treatment p.662

medical aid-in-dying

When a family member insists that a patient not be told his or her prognosis, __________. - doctors and nurses should honor the family member's request, regardless of the patient's age - medical personnel can first offer information to the patient, and then, if the patient refuses, ask who should receive information - other family members and nurses should pretend there is nothing wrong in an attempt to prevent stress - this softens the patient's psychological pain and makes dying much easier for the patient and the family p.655

medical personnel can first offer information to the patient, and then, if the patient refuses, ask who should receive information

In the aftermath of horrific tragedies—such as mass school shootings—the most powerful way to help children recover from trauma is _________________ . - exposure to media about the incident to help them confront their fears - de-emphasis on both loss-oriented and restoration-oriented activities - nurturing and caring relationships with adults - group bereavement intervention sessions p. 670

nurturing and caring relationships with adults

Which of the following is an essential ingredient of a "good death"? -offering the dying person care, affection, companionship, and esteem -hiding the truth about the terminal aspect of the diagnosis from the dying person -avoiding discussions about the past and the future, focusing on the present -making sure that the medical staff uses all possible life-saving measures p.647-648

offering the dying person care, affection, companionship, and esteem

In the days or hours before death, ______________ . -body temperature rises -skin becomes a brighter, reddish hue -the hands and feet feel cool -blood pressure rises p.646

the hands and feet feel cool

During the clinical death phase, __________________________. t-he brain stem ceases to function -resuscitation is no longer possible -the individual passes into permanent death -the heartbeat, circulation, breathing, and brain functioning stop P.646

the heartbeat, circulation, breathing, and brain functioning stop

According to Kübler-Ross, the weakened patient who reaches a state of peace ______________________ . -avoids discussions with doctors to escape from the prospect of death -realizes the inevitability of death but attempts to bargain for extra time -usually does so in the last few days before death -becomes despondent and depressed in the last days p.653

usually does so in the last few days before death

In most industrialized nations, donated organs can be removed ___________________. -during the agonal phase of death -when all brain activity ceases -when the heartbeat ceases -when respiration ceases p.646-647

when all brain activity ceases