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Epilogue

Key Concepts:

Terms in this set (67)

T/F: Incomplete grief may result when a police investigation or autopsy follows a death.
True
T/F: Robert barely survived a horrendous car crash. As he lay on the road close to death, he said he was surrounded by a white light and felt joy and peace. He was experiencing palliative care.
False
T/F: A divorced spouse may feel disenfranchised grief after the death of their former partner.
True
T/F: According to Kübler-Ross, the final stage of dying is depression.
False
T/F: Children do not understand death.
False
T/F: Medical directives in living wills are always followed by hospital staff.
False
T/F: An advance directive is an individual's instructions regarding end-of-life medical care.
True
T/F: Physician-assisted suicide is used in about 25 percent of all deaths in the Netherlands.
False
T/F: Physician-assisted suicide is legal in most U.S. states.
False
T/F: If individuals do not move on quickly after grieving the loss of a loved one, pathological incomplete grief will result.
False
T/F: A good death is often considered to be one that is quick, peaceful, and in the presence of family and friends.
True
T/F: Hospice care makes use of a variety of medical interventions to delay death.
False
T/F: Only a small subset of people—about 10 percent—experience complicated grief.
True
T/F: The double effect is considered unethical and is illegal in most states.
False
T/F: One function of mourning customs is to allow for public displays of grief.
True
Oregon's law regarding assisted suicide requires the _____.

A. patient to enter hospice care
B. patient's illness to be confirmed by at least four physicians
C. dying person to request the lethal drugs twice orally and once in writing
D. consent of the next of kin
C
The average person today lives _____ as long as the average person did a century ago.

A. twice
B. three times
C. four times
D. just about
A
A living will is written to indicate _____.

A. that no attempt should be made to revive the person if they stop breathing
B. the way property should be divided among heirs
C. and pass along important family stories
D. what medical intervention should be used if the person is not conscious when a decision needs to be made
D
A longitudinal study of older married adults in Detroit found that widows and widowers who were depressed for years after the death of their spouse _____.

A. suffered from pathological grief
B. were more resilient than other widows and widowers
C. were the majority group in the study
D. had also been depressed before the death of their spouse
D
Laura has just entered a hospice. She can expect _____.

A. pain management
B. artificial life-support systems
C. restricted visiting hours for family and close friends
D. to be resuscitated if she quits breathing on her own
A
Max was in critical condition when he arrived at the ER. His heart stopped and he almost died, but thanks to quick intervention survived the ordeal. As he healed, he discussed having the sense of floating in light and experiencing a sense of peace. Max seems to have had a _____.

A. coma
B. near-death experience
C. terror management theory
D. good death
B
James, age 50, is terminally ill. He is primarily focused on _____.

A. his fear of death
B. the pain he might suffer
C. a fear of leaving something undone
D. planning his funeral
C
Which of the following conditions may hinder the healing and affirmation of the bereaved?

A. experiencing a delay in recovering the body of the deceased
B. holding a funeral a few days after the death
C. having rosy recollections of the deceased person
D. believing in life after death
A
The deep sorrow that people feel after the death of another is called _____.

A. grief
B. mourning
C. a near-death experience
D. resilience
A
Which of the following is an example of passive euthanasia?

A. A doctor gives a patient a prescription for a lethal medication.
B. A husband injects his wife with an overdose of her medication, without her requesting this of him.
C. A patient asks his adult child to give him a lethal injection.
D. A doctor does not resuscitate a man who stops breathing after seeing that he had a DNR order.
D
Melina's father just died. She was very close to him, and simply cannot face the reality of his death. To those around her, it appears that Melina is not grieving at all. Melina is experiencing _____ grief.

A. complicated
B. disenfranchised
C. absent
D. incomplete
C
According to Maslow, which of the following is a stage involved in the dying process?

A. safety
B. denial
C. forgiveness
D. depression
A
Sigrid's mother recently died after a long illness. Though Sigrid has not attended religious services since she was a child, it is likely that she will _____.

A. become more religious after being confronted with this death
B. refuse to attend the funeral
C. not believe in any sort of life after death
D. never move past her grief because she does not practice a religion
A
Opiates have a double effect, meaning that they both _____.

A. relieve pain and fight many infections
B. reduce sedation and cause delirium
C. relieve pain and slow respiration
D. fight many infections and slow respiration
C
In an effort to reduce binge drinking on campus, the university initiated an information campaign to raise awareness. Within weeks of the beginning of the campaign, binge drinking incidents had increased. What is the best explanation for this?

A. thanatology
B. terror management theory
C. belief in reincarnation
D. bereavement
B
T/F: Only those with pathological grief seek to assign blame after the death of a loved one.
False
T/F: In contemporary society, many traditional religious mourning practices have been replaced by secular memorial services.
True
T/F: One function of mourning customs is to allow for public displays of grief.
True
T/F: Childhood experiences can shape how adults deal with the death of loved ones later in life.
True
T/F: Fear of death tends to subside in middle age.
False
T/F: Some pain medication can speed up death.
True
T/F: Death occurs earlier today than it did 100 years ago.
False
In _____, a seriously ill person is allowed to die naturally, without any medical intervention.

A. assisted suicide
B. passive euthanasia
C. a health care proxy
D. active euthenasia
B
About what percentage of individuals admitted to hospice die before the end of the first week of hospice care?

A. 25%
B. 33%
C. 50%
D. 66%
B
One way that older people cope with their own mortality is through _____.

A. denying death
B. feeling guilty for what is undone
C. engaging in legacy work
D. focusing on the limits of old age
C
In Korea, how did religious practice change with regard to autopsies?

A. Religious leaders forbid autopsies.
B. A religious service was developed for use with autopsies.
C. Egyptian traditions were fused with Korean customs.
D. Most people abandoned religious ceremonies because of their opposition to autopsies.
B
Paid obituaries in newspapers and roadside memorials illustrate the fact that mourners _____.

A. spend time and money on frivolous things
B. sometimes want strangers to know about a death
C. lose their sense of privacy
D. find little comfort in public commemoration
B
Hospice care is expensive because it _____.

A. is labor-intensive
B. requires high-technology equipment
C. requires elaborate facilities
D. is so widely available
A
In a longitudinal study of older married adults in Detroit, almost all widows and widowers _____ their marriage.

A. minimized
B. idealized
C. quickly forgot
D. denigrated
B
When Oregon residents' reasons for requesting physician-assisted suicide were assessed, which reason was identified as the least common?

A. loss of autonomy
B. loss of dignity
C. pain
D. loss of ability to enjoy life
C
In late adulthood, attitudes about death shift. Anxiety _____ while hope _____.

A. decreases; increases
B. increases; increases
C. decreases; decreases
D. increases; decreases
A
A person who is in a state of deep unconsciousness from which he or she cannot be aroused has _____.

A. brain death
B. a coma
C. slipped into a vegetative state
D. locked-in syndrome
B
Which of the following statements about living wills is TRUE?

A. Living wills enable health care professionals to make decisions exactly as the patient would have wanted.
B. Family members may override a living will.
C. Low-income individuals are especially likely to have a living will
D. Even the most extensive living will cannot answer every question that may emerge.
D
T/F: Passive euthanasia is legal everywhere.
True
T/F: As adults become parents, they take fewer risks and more precautions.
True
T/F: Mourning can sometimes take the form of public protest, turning blame into what can be a constructive action to make the world safer.
True
Medication that relieves pain and also slows respiration has a _____.

A. double effect
B. DNR
C. good death
D. hospice care
A
The type of grief in which people are not allowed to mourn publicly because of cultural customs or social restrictions is called _____.

A. incomplete grief
B. disenfranchised grief
C. complicated grief
D. absent grief
B
Ted's ex-wife died suddenly. Although their two children were included in the memorial service, Ted was intentionally excluded. Because he still cared about his ex-wife, he experienced _____.

A. absent grief
B. incomplete grief
C. disenfranchised grief
D. mourning
C
Which of the following statements is a way that death today is different from 100 years ago?

A. Death occurs earlier.
B. Dying occurs faster.
C. Death impacts more children.
D. Death has become less familiar.
D
Some people designate a _____, or another person who can make medical decisions for them if they are unable to do so.

A. health care proxy
B. living will
C. palliative care specialist
D. court
A
The fact that more people fear flying than driving illustrates that attitudes about death tend to be _____.

A. largely informed by statistics
B. focused on the changes that individuals should make in order to live longer lives
C. major factors in our selection of transit
D. largely irrational
D
A person whom a dying person designates to make his or her medical decisions is a(n) _____.

A. adult child
B. health care proxy
C. attorney
D. hospice worker
B
The definition of death that has been used by professionals around the world for the past several decades states that death occurs when _____.

A. the person enters locked-in syndrome
B. the eyes along respond to pain
C. noticeable respiration ceases
D. brain waves cease
D
An example of active euthanasia is when _____.

A. a doctor does not restore breathing after reading the patient's DNR order
B. health care professionals limit painkilling drugs
C. someone turns off a patient's respirator
D. a patient refuses to eat
C
Across cultures, a result of near-death experiences is _____.

A. an increased fear of death
B. scientific data on what happens to the dead
C. a loss of the will to live
D. a sense of hopefulness
D
Which of the following descriptions is NOT characteristic of a good death?

A. peaceful
B. quick
C. in familiar surroundings
D. being alone
D
In what way has modern medicine made a good death more likely?

A. by confining most deaths to hospitals and nursing homes
B. by increasing the general levels of health so that most deaths occur in old age
C. by not discussing the likelihood of death with patients, so as not to scare them
D. by using whatever means necessary to prolong life at all times
B
Which of the following is TRUE about older adults who think they may die soon?

A. They are more likely to want to spend time with a family member.
B. They are unlikely to believe in some kind of afterlife.
C. They give up on living.
D. They are unlikely to accept death as a part of life.
A
A study on responses to the death of a spouse found that the majority of widows and widowers _____.

A. were, within 6 months, about as happy and productive as they had been before their spouse's death
B. suffered from pathological grief, including extreme depression, for the first time in their lives
C. experienced a significant improvement in mood due to reduced caregiving demands
D. were slow to recover, but regained most of their ability to function with in four years
A
"Dad, why don't we go for a walk? You can watch the kids play soccer at the park," Beatrice says. Her father replies, "What's the point? Nothing really matters anymore." Which of Kübler-Ross's stages is Beatrice's father in?

A. denial
B. anger
C. bargaining
D. depression
D
Mikal entered a state of deep unconsciousness after a serious accident. His cognitive functions have ceased though he is still breathing. His family and friends notice that his eyes have occasionally opened and he has made a few irregular sounds. Mikal _____.

A. is in a coma
B. has brain death
C. is in a vegetative state
D. has locked-in syndrome
C
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