530
TEST BANK
CHAPTER 19: DEATH, DYING, AND BEREAVEMENT
Multiple Choice Questions
TB_19_01_Death Itself_LO 19.1_APA LO 1.1
Which form of death occurs at the point at which family members and medical personnel treat the deceased person
as a corpse?
A) Clinical death
B) Brain death
C) Social death
D) Biological death
TB_19_02_Death Itself_LO 19.1_APA LO 1.1
Which form of death has occurred in circumstances where rescue is still possible, even though there is no evidence
of brain function, the heart has stopped, and breathing has stopped?
A) Brain death
B) Clinical death
C) Cardiovascular death
D) Biological death
TB_19_03_Death Itself_LO 19.1_APA LO 1.1
Which form of death has occurred in circumstances where there is no electrical activity in the brain and the person
no longer has reflexes or responds to vigorous external stimuli?
A) Brain death
B) Cerebral death
C) Cortical death
D) Neural death
531
TB_19_04_Death Itself_LO 19.1_APA LO 1.1
When Darius stopped breathing, his eyes were still open. The nurse closed his eyes and pulled the bed sheet over his
head. These activities marked which of the following?
A) Social death
B) Clinical death
C) Brain death
D) Psychological death
TB_19_05_Death Itself_LO 19.1_APA LO 1.1
What circumstances permit the determination that a person is legally dead?
A) When there is no electrical activity in the brain and the person no longer has reflexes or responds to vigorous
external stimuli
B) When resuscitation is possible, even though there is no evidence of brain function or respiration, and the heart
has stopped
C) When the brain stem is dead and there is no independent body functioning
D) When a physician pronounces the person to be dead
TB_19_06_Where Death Occurs_LO 19.2_APA LO 1.1
Which of the following is an approach to caring for the terminally ill that focuses on individual and family control
over the process of dying?
A) DNR
B) Hospice care
C) Skilled nursing
D) Home-health
TB_19_07_Where Death Occurs_LO 19.2_APA LO 1.1
Roger has AIDS. He hates hospitals and the antiseptic quality of any institution. He wants to die at home with his
family around him, making whatever decisions must be made. Which of the following would be a good alternative
for Roger to consider?
A) An assisted living facility
B) Kaliai care
C) Hospice care
D) Nursing home care
532
TB_19_08_Where Death Occurs_LO 19.2_APA LO 1.1
In which country did hospice care originate?
A) The United States
B) Germany
C) The Netherlands
D) England
TB_19_09_Where Death Occurs_LO 19.2_APA LO 1.1
In the U.S., what percentage of deaths takes place in the decedent’s home?
A) 27%
B) 21%
C) 41%
D) 53%
TB_19_10_Where Death Occurs_LO 19.2_APA LO 1.1
In the United States and other industrialized countries, where do most adults die?
A) At home
B) In a hospice
C) In a hospital
D) In a nursing home
TB_19_11_Where Death Occurs_LO 19.2_APA LO 1.1
Which of the following is an aspect of the philosophy behind hospice care?
A) The patient should actively fight death by avoiding pain medications and using all measures to prolong life.
B) The patient and the family should prepare by talking openly and planning for after the death.
C) The family should not be involved in the patient’s care.
D) The patient should give up control regarding decisions about his or her care and treatment.
533
TB_19_12_Where Death Occurs_LO 19.2_APA LO 1.1
Which type of care focuses on relieving a terminally ill patient’s pain, rather than curing the illness?
A) Merciful
B) Palliative
C) Hospital
D) Euthanasia
TB_19_13_Where Death Occurs_LO 19.2_APA LO 1.1
In which type of hospice programs are family caregivers supported by specially-trained health care workers?
A) Residence-based
B) Filial-oriented
C) Hospital-based
D) Assisted-living facility-based
TB_19_14_Where Death Occurs_LO 19.2_APA LO 1.1
In which of the following would you find a small number of patients who are cared for by specially-trained health
care workers in a home-like setting?
A) Hospital-based programs
B) Hospice centers
C) Home-based programs
D) Assisted living programs
534
TB_19_15_Where Death Occurs_LO 19.2_APA LO 1.1
According to research, which of the following attitudes was commonly reported by the loved ones of a terminally ill
patient who chose a home-based hospice program?
A) They reported relief at having their loved one home.
B) They reported feeling a greater sense of burden.
C) They responded no differently than those whose loved one died in a hospital-based hospice program.
D) The reported greater satisfaction at the quality of care.
TB_19_16_Children’s and Adolescents’ Understanding of Death_LO 19.3_APA LO 1.1
What would be the most likely age of a child who said, “My cat died, but if I get her some medicine, she will feel
better tomorrow?”
A) 5 years
B) 7 years
C) 9 years
D) 11 years
TB_19_17_Children’s and Adolescents’ Understanding of Death_LO 19.3_APA LO 1.1
Which of the following most accurately characterizes what a child younger than five years of age would understand
or believe about death?
A) That death is permanent
B) That death is reversible
C) That death is tragic
D) That death is universal
TB_19_18_Children’s and Adolescents’ Understanding of Death_LO 19.3_APA LO 1.1
A child’s understanding of the permanence of death correlates with which stage of Piaget’s theory?
A) Preoperational
B) Post-formal
C) Concrete operations
D) Formal operations
535
TB_19_19_Children’s and Adolescents’ Understanding of Death_LO 19.3_APA LO 1.1
Which of the following would serve to speed up a child’s understanding of death?
A) Believing that death is just a temporary experience
B) Reading a story in which a character dies and then comes back to life
C) Finding a dead animal
D) Talking about death in the absence of any direct experience
TB_19_20_Children’s and Adolescents’ Understanding of Death_LO 19.3_APA LO 1.1
Which of the following contributes to adolescent suicidal behavior?
A) The understanding that death is inevitable
B) Unrealistic ideas about personal death
C) The death of a close relative
D) An understanding of the universality of death
TB_19_21_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which of the following terms explains a young adult’s belief that she is too lucky to die, even though she knows that
death can happen to other people?
A) A borderline personality disorder
B) Denial
C) Egocentrism
D) Unique invulnerability
TB_19_22_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which of the following is typical of a young adult when asked to estimate their life expectancy?
A) They tend to overestimate their life expectancy.
B) They tend to underestimate their life expectancy.
C) They are usually accurate within one or two years.
D) They are more likely to overestimate their life expectancy than are adolescents.
536
TB_19_23_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Jason is a 26-year-old professional basketball player. One of his teammates died suddenly during a recent playoff
game. Which of the following best exemplifies how Jason is likely to react to the unexpected death of his teammate?
A) Jason is likely to take it in stride and spend little time thinking about or grieving over the loss of his teammate.
B) Jason is likely to look for reasons to explain why his teammate died so as to feel less threatened or vulnerable.
C) Since Jason’s relationship with his teammate was non-familial, he is likely to feel less threatened by it than if it
were a family member who had died.
D) Since Jason is a young adult, his sense of unique invulnerability will protect him from being overly concerned
about the death of his teammate.
TB_19_24_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
For most adults, which of the following is the most significant meaning of death?
A) Transition
B) Loss
C) Punishment
D) Renewal
TB_19_25_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
How does thinking about time change in middle adulthood?
A) Time seems to move faster than it did in young adulthood
B) Time seems to move slower than it did in young adulthood
C) Thinking in terms of years rather than decades
D) Thinking in terms of time until death rather than time since birth
537
TB_19_26_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which of the following age groups would not be likely to make a change in lifestyle in response to a hypothetical
impending death?
A) 16–20
B) 20–39
C) 40–59
D) 60+
TB_19_27_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
When faced with impending death, which of the following groups would most likely want to spend time with loved
ones?
A) White Americans
B) Mexican Americans
C) African Americans
D) Japanese Americans
TB_19_28_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which of the following would be the most likely response if a young adult were asked how she would want to spend
the remaining months of her life?
A) “I would attempt to tie up loose ends such as making plans for my burial.”
B) “I would finish important projects and leave my affairs in order for my family.”
C) “I would meditate and pray.”
D) “I would spend time traveling and having adventures with my family and friends.”
TB_19_29_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which group would be most likely to seek new experiences if they thought they were going to die?
A) Oldest old adults
B) Young old adults
C) Middle-aged adults
D) Young adults
538
TB_19_30_The Meaning of Death for Adults_LO 19.4_APA LO 1.1
Which of the following would be the most likely response if an adult older than the age of 60 were asked how he
would spend the remaining months of his life?
A) “I would tie up the loose ends of my business affairs and talk to my lawyer about my will.”
B) “I would travel and spend time with my friends and family.”
C) “I would meditate and try to find peace and acceptance within myself.”
D) “I would do all the wild and crazy things that I have always wanted to do.”
TB_19_31_Fear of Death_LO 19.5_APA LO 1.1
According to research, who would be least afraid to die?
A) 17-year-old Susan
B) 45-year-old Mr. James
C) 60-year-old Mrs. Washington
D) 75-year-old Mr. Jackson
TB_19_32_Fear of Death_LO 19.5_APA LO 1.1
Who does research suggest would be most afraid to die?
A) 45-year-old Melissa
B) 55-year-old Mark
C) 65-year-old Mrs. Green
D) 75-year-old Mr. Clinton
TB_19_33_Fear of Death_LO 19.5_APA LO 1.1
With regard to death, older adults are most likely to fear which of the following?
A) The uncertainty before death, such as where they will die and who will care for them
B) That important issues will be unresolved or projects will not be completed
C) Loss of their roles and relationships
D) Pain or discomfort often associated with death
539
TB_19_34_Fear of Death_LO 19.5_APA LO 1.1
Which of the following is an accurate statement about the fear of death?
A) Old age is the time when death is most feared.
B) Older adults fear the period of uncertainty before death, such as whether they will be able to cope with the loss of
control and independence.
C) Researchers have found that adults who are deeply religious and adults who are totally irreligious may fear death
more than those who are ambivalent about a religious or philosophical tradition.
D) Adults who believe their lives have had purpose or meaning appear to be more fearful of death.
TB_19_35_Preparation for Death_LO 19.6_APA LO 1.1
Jerilyn is in the early stages of an inoperable cancer. She has prepared a signed and witnessed written document
directing her family not to allow any artificial or heroic steps to be taken in the event that she is unable to make her
wishes known at the appropriate time. What is this document called?
A) Power of attorney
B) Executive trust
C) Living trust
D) Advance directive
TB_19_36_Preparation for Death_LO 19.6_APA LO 1.1
What does a health-care power of attorney do?
A) It gives written instructions for end-of-life care.
B) It takes care of funeral arrangements in advance.
C) It specifies who can make decisions for an individual in the event he or she becomes unable to do so.
540
TB_19_37_No Easy Answers_LO 19.6_APA LO 1.1
Which of the following is a common belief about death among the Kaliai people in New Guinea?
A) The belief that deaths are caused by a person or spirit whom the dying person has offended in some way
B) The belief that death is never to be discussed
C) The belief that it is very important to say farewell to friends and family
D) The belief that death releases the soul from the entrapments of the physical body so that it can continue to grow
TB_19_38_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
Which of the following is a stage in Elizabeth Kübler-Ross’s model of the psychological preparations for death?
A) Agreement
B) Objection
C) Bargaining
D) Preparation
TB_19_39_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
Reece was told that he has cancer and will likely not survive surgery. His response was to laugh and tell the doctor
that he had the wrong guy—Reece felt fine! Reece’s response fits with which stage of Kübler–Ross’s theory?
A) Preparation
B) Denial
C) Bargaining
D) Acceptance
TB_19_40_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
A dying person who says “Why me? This isn’t fair!” is in which stage of psychological preparation for death,
according to Elizabeth Kübler-Ross?
A) Anger
B) Denial
C) Depression
D) Rejection
541
TB_19_41_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
Britt knows that he is dying. “I will donate a large sum of money to cancer research if I can just live long enough to
see my grandchild born,” he pleaded. Britt is most likely in which stage of dying, according to Kübler-Ross?
A) Accommodation
B) Acceptance
C) Bargaining
TB_19_42_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
According to Kübler-Ross, what is the purpose of reactions such as denial or bargaining?
A) These reactions are barriers to intrusive social support.
B) These reactions can be a source of energy or fighting spirit.
C) These responses are defense mechanisms that aid the person in coping with the reality of impending death.
D) These responses are a person’s private mourning rituals.
TB_19_43_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
Charles has recently learned that he is terminally ill. He has since begun to lash out at his family and at the medical
personnel involved in his care. Kübler-Ross would suggest that this behavior can be explained by which of the
following?
A) A wish to punish others and make them feel pain, too
B) A loss of control and sense of helplessness
C) Cognitive changes brought on by the stress of the situation
TB_19_44_Kübler-Ross’s Stages of Dying_LO 19.7_APA LO 1.1
An individual who says, “I’m looking forward to seeing my loved ones in heaven” is most likely in which stage of
dying, according to Elizabeth Kübler-Ross?
A) Denial
B) Acceptance
C) Depression
D) Terminal
542
TB_19_45_Criticisms and Alternative Views_LO 19.8_APA LO 1.1
Which of the following are two major criticisms of Kübler-Ross’s theory of dying?
A) Her claim that these processes are universal and gender specific
B) Her methodology and her claim that people of all ages react the same
C) Her claim that religiosity is tied to the five stages and that persons of non-Christian religions will react differently
D) Her methodology and her claim that these processes are culturally universal
TB_19_46_Criticisms and Alternative Views_LO 19.8_APA LO 1.1
What is thanatology?
A) The study of brain function during death
B) The belief in life after death
C) The religious view that death is a transitional state
D) The scientific study of death and dying
TB_19_47_Criticisms and Alternative Views_LO 19.8_APA LO 1.1
Which of the following is one of the tasks of dying proposed by Charles Corr?
A) Minimizing autonomy
B) Ignoring or avoiding sources of spiritual energy
C) Minimizing bodily needs
D) Sustaining and enhancing significant personal attachments
543
TB_19_48_Responses to Impending Death_LO 19.9_APA LO 1.1
When an individual rejects evidence about a diagnosis and/or insists that surgery was just precautionary, Greer and
others suggest this is
A) helplessness/hopelessness.
B) minimization.
C) denial.
D) anxious preoccupation.
TB_19_49_Responses to Impending Death_LO 19.9_APA LO 1.1
Kathy has breast cancer. She has kept a positive attitude and has been doing research to learn more about her type of
cancer. She readily tells her doctors that she is going to fight with everything she has to beat her cancer. Greer and
other researchers would suggest that Kathy has which of the following?
A) Fighting spirit
B) Helplessness/hopelessness
C) Stoic acceptance (fatalism)
D) A realistic attitude
TB_19_50_Responses to Impending Death_LO 19.9_APA LO 1.1
When Barry was told he had lung cancer, he just resigned himself to the idea that he would die. He didn’t really
seem to be in denial, he just made no attempt to seek a cure, believing that his diagnosis “is what it is.” Greer and
others would suggest that Barry’s attitude is which of the following?
A) Stoic acceptance
B) Helplessness/hopelessness
C) Depression
D) Fighting spirit
TB_19_51_Responses to Impending Death_LO 19.9_APA LO 1.1
According to the research conducted by Greer, which of the following groups had the longest survival rates from a
terminal illness?
A) Those whose attitude was stoic acceptance
B) Those whose attitude was denial or fighting spirit
C) Those whose attitude was quiet resignation
D) Those whose attitude was anger
544
TB_19_52_Responses to Impending Death_LO 19.9_APA LO 1.1
Which of the following is true regarding a person who has had a heart attack?
A) Those with an attitude of stoic acceptance are least likely to have a second heart attack.
B) The majority of people over the age of 75 will die from their first heart attack.
C) Those who do not go through Kübler-Ross’s stages of dying are not likely to have a second heart attack.
D) Those who live alone are more likely to have a second heart attack than those who live with someone else.
TB_19_53_ Freud’s Psychoanalytic Theory _LO 19.10_APA LO 1.2
Which of the following concepts did Freud believe to be most useful for coping with death and grief?
A) Defense mechanisms
B) Regression
C) The unconscious
D) Fixation
TB_19_54_Freud’s Psychoanalytic Theory _LO 19.10_APA LO 1.2
Which two defense mechanisms have been useful in helping children cope with dying?
A) Denial and regression
B) Displacement and repression
C) Sublimation and identification
D) Regression and reaction formation
TB_19_55_Bowlby’s Attachment Theory_LO 19.11_APA LO 1.2
Which of the following is included in the stages of grief proposed by John Bowlby?
A) Sublimation
B) Denial
C) Numbness
D) Fatalism