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11
40) The cultural practice of waiting a year after the death of a spouse to begin dating is an
example of
A) social death.
B) expressed grief.
C) mourning.
D) bereavement.
Skill: Applying
Section: Coping with Loss
Learning Outcome: 14.5
41) Funeral rituals
A) are a relatively recent phenomenon in Western societies.
B) are not useful in helping survivors cope with their loss.
C) always include a viewing of the body of the deceased.
D) are found in all cultures.
Skill: Understanding
Section: Making Final Arrangements
Learning Outcome: 14.7
42) Care that focuses on relieving the pain and other symptoms of a serious illness to improve
quality of life for patients and families is
A) palliative care.
B) skilled nursing care.
C) grief counseling.
D) end-of-life care.
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
43) Withholding life-prolonging treatments and allowing a terminally ill patient to die naturally
is
A) palliative care.
B) active euthanasia.
C) passive euthanasia.
D) rational suicide.
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
12
44) Which of the following is TRUE about hospice care?
A) It provides care for a terminally ill patient and his or her family.
B) It is based on the patient's or family's ability to pay for the care.
C) It lacks the counselors and clergy that a hospital would have on staff.
D) It is only provided in a nursing home setting.
Skill: Understanding
Section: Making Final Arrangements
Learning Outcome: 14.7
45) Henry was killed in an automobile accident. After his death, his family discovered that he
had no will. Henry
A) was intestate.
B) had no last wishes.
C) was without an advanced directive.
D) had a power of attorney.
Skill: Applying
Section: Making Final Arrangements
Learning Outcome: 14.7
46) The study of death and dying is
A) gerontology.
B) thanatology.
C) theology.
D) anthropology.
Skill: Remembering
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
47) The permanent cessation of all of the body's vital functions is the definition of
A) euthanasia.
B) suicide.
C) death.
D) dying.
Skill: Remembering
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
13
48) The decline of the body's vital functions that results in death is
A) dementia.
B) impairment.
C) disease.
D) dying.
Skill: Understanding
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
49) A document that stipulates a person's wishes about medical care that is used to make
treatment decisions when the individual becomes unable to communicate his or her preferences
is a(n)
A) advance notice.
B) advance directive.
C) health care power of attorney.
D) legal medical record.
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
50) William is 36 years old. Since his diagnosis of terminal cancer, he has been enraged—at his
physicians, at his friends and family members, and at "the universe." Which stage of the Kübler-
Ross model is William experiencing?
A) denial
B) anger
C) bargaining
D) depression
Skill: Applying
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
14
51) Martha is 82 years old and has been diagnosed with end-stage kidney disease. Her kidney
specialist has told her that treatments are becoming less and less effective and that "it's only a
matter of time" before her kidneys fail completely. Although Martha understands what her
physician has told her, she returns home in a state of shock. She decides that her physician must
be mistaken and asks her daughter to help her find a new kidney specialist. Which stage of the
Kübler-Ross model is Martha experiencing?
A) denial
B) anger
C) bargaining
D) depression
Skill: Applying
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
52) Ralph is 73 years old, and has recently been diagnosed with terminal pancreatic cancer. After
being unable to sleep, he sits up in bed and pleads silently with God to allow him to live long
enough to witness the birth of his first grandchild. Which stage of the Kübler-Ross model is
Ralph experiencing?
A) denial
B) anger
C) bargaining
D) depression
Skill: Applying
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
53) Millie is 88 years old and has been coping with slowly progressing heart failure for many
years. In the last six months, she has been hospitalized twice for infections, and feels weak and
exhausted and ready for death. Which stage of the Kübler-Ross model is Millie experiencing?
A) anger
B) bargaining
C) depression
D) acceptance
Skill: Applying
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
15
54) Bob smoked for six decades before being diagnosed with chronic emphysema. His symptoms
have now progressed to a point at which his day-to-day activities are drastically restricted, he
must use supplemental oxygen, and his wife has to "take care of everything." He realizes he is
dying, and feels ashamed for not having quit smoking when he was young. He also feels guilty
and worthless because of his dependency on his wife. Which stage of the Kübler-Ross model is
Bob experiencing?
A) guilt
B) depression
C) doom
D) acceptance
Skill: Applying
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
55) An emotional reaction to a significant loss is
A) depression.
B) bereavement.
C) mourning.
D) grief.
Skill: Understanding
Section: Coping with Loss
Learning Outcome: 14.5
56) Most older people end up living in a nursing home.
Skill: Understanding
Section: Aging
Learning Outcome: 14.1
57) Sarcopenia is an age-related decline in respiratory capacity.
Skill: Understanding
Section: Strategies for Healthy Aging
Learning Outcome: 14.3
16
58) Gerontologists recommend that people stop exercising after approximately age 85, because
the risk of injury outweighs the benefits.
Skill: Understanding
Section: Strategies for Healthy Aging
Learning Outcome: 14.3
59) Menopause may make sexual activity less pleasurable for women.
Skill: Understanding
Section: Physical and Mental Changes of Aging
Learning Outcome: 14.2
60) Many older people engage in regular sexual activity.
Skill: Understanding
Section: Physical and Mental Changes of Aging
Learning Outcome: 14.2
61) Gerontology explores the reasons for aging and the ways in which people cope with and
adapt to this process.
Skill: Understanding
Section: Aging
Learning Outcome: 14.1
62) Alzheimer's disease is a form of dementia.
Skill: Understanding
Section: Physical and Mental Changes of Aging
Learning Outcome: 14.2
63) The life expectancy of a child born in 2014 is nearly 20 years longer than that of a child born
in 1900.
Skill: Understanding
Section: Aging
Learning Outcome: 14.1
17
64) Thanatology is the study of life after death.
Skill: Understanding
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
65) Anger is a normal part of the grief process.
Skill: Understanding
Section: Understanding the Final Transitions: Dying and Death
Learning Outcome: 14.4
66) A woman who miscarries early in her pregnancy may experience disenfranchised grief.
Skill: Understanding
Section: Coping with Loss
Learning Outcome: 14.5
67) To complete the grief work process, a person first must set a time limit for each of the stages
to be completed.
Skill: Understanding
Section: Coping with Loss
Learning Outcome: 14.5
68) According to Worden's model, the grief work process includes four developmental tasks that
a person must complete to cope with the situation and move on with his or her life.
Skill: Understanding
Section: Coping with Loss
Learning Outcome: 14.5
69) A conscious, mentally competent adult has the right to refuse life-saving medical treatment.
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
18
70) Only attorneys can be appointed as durable power of attorney for health care.
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
71) The organs from a single cadaver can be used for only one living person.
Skill: Understanding
Section: Making Final Arrangements
Learning Outcome: 14.7
72) Explain how the growing population of elderly will affect society in the future.
Skill: Analyzing
Section: Aging
Learning Outcome: 14.1
73) Explain why it is important to build bone mass in your childhood, teens, and early twenties,
and identify at least two ways to do this.
Skill: Analyzing
Section: Physical and Mental Changes of Aging
Learning Outcome: 14.2
19
74) Identify at least four characteristics that can help older adults age successfully.
Skill: Understanding
Section: Strategies for Healthy Aging
Learning Outcome: 14.3
75) List five common physical and emotional responses that can be part of the typical grief
process. Then explain the four tasks in Worden's model of the grief work process.
Answer: Students may mention any five of the following responses: insomnia, feelings of
emptiness or muscular weakness, intense anxiety, sense of unreality, lapses in memory, loss of
appetite, depression and social withdrawal, tightness in the throat or shortness of breath, feelings
of guilt, difficulty concentrating, hostility, tendency to engage in purposeless behavior, difficulty
in making decisions, preoccupation with the image of the deceased, and susceptibility to disease.
Worden's model includes the following four tasks:
4) Emotionally relocate the deceased and move on with life.
Skill: Analyzing
Section: Coping with Loss
Learning Outcome: 14.5
20
76) Which of a person's wishes should be included in an advance directive and what steps should
be taken to ensure that these wishes are carried out?
Skill: Understanding
Section: Life-and-Death Decision Making
Learning Outcome: 14.6
77) Imagine that a family member has been diagnosed with cancer, has been told by her
physicians that there is nothing more they can do, and has been offered hospice care. She tells
you that she wants to register for hospice care, but that another relative is strongly opposed, and
insists that the physicians are "giving up too soon." What benefits of hospice care, for the patient
and the family, could you share with your family members?
Skill: Analyzing
Section: Making Final Arrangements
Learning Outcome: 14.7
