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1 | | Twenty-five years ago, all of the following were clear signs of death EXCEPT: |
| | A) | lack of breathing. |
| | B) | rigor mortis. |
| | C) | brain death. |
| | D) | nonexistent blood pressure. |
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2 | | Elvira was brought into the hospital after a car accident. She has had a flat EEG for over 20 minutes and the doctors have informed her parents that there is no longer any electrical activity in her brain, and that she is brain dead. The doctors have given a(n) ______________ definition of death. |
| | A) | psychological |
| | B) | philosophical |
| | C) | neurological |
| | D) | anatomical |
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3 | | Dylan watched his father suffer for a year before dying of cancer. Now Dylan wants to be sure that he retains control over any decisions made concerning how, when, and under what circumstances life-sustaining treatments will be used or withheld in the case of his own final illness. To ensure this, Dylan should prepare a: |
| | A) | living trust. |
| | B) | living will. |
| | C) | last will and testament. |
| | D) | power of attorney. |
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4 | | In Canada, Living Wills are called all of the following EXCEPT: |
| | A) | Do Not Resuscitate orders. |
| | B) | Power of attorney for personal care. |
| | C) | health care directives. |
| | D) | advanced directives. |
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5 | | Active euthanasia is: |
| | A) | allowing the patients, if they so choose, to self-administer a lethal dose of drug. |
| | B) | letting the patient die naturally. |
| | C) | the intentional administration of a lethal drug dose by medical personnel to the dying patient. |
| | D) | allowing the dying patient to decide when painkilling drugs should be administered. |
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6 | | Most people tend to find fewer ethical problems with ______________ euthanasia, especially where it involves older, terminally ill individuals. |
| | A) | involuntary |
| | B) | active |
| | C) | passive |
| | D) | assisted |
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7 | | The Senate Committee on Euthanasia and Assisted Suicide (1995) recommended all of the following EXCEPT that: |
| | A) | access to palliative care be improved. |
| | B) | active euthanasia be legalized. |
| | C) | better care of the dying include education. |
| | D) | better care of the dying include management of pain. |
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8 | | Which of the following is NOT typical of palliative care? |
| | A) | make every effort to prolong life. |
| | B) | bring pain under control. |
| | C) | help dying patients face death in a psychologically healthy way. |
| | D) | include the dying individual's family. |
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9 | | Today, in Canada, many hospice programs are: |
| | A) | entirely institution-based. |
| | B) | entirely home-based. |
| | C) | a blend of institutional and home care. |
| | D) | focused on curing disease and prolonging life. |
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10 | | The view of most societies is that death is: |
| | A) | the end of existence. |
| | B) | a biological end to the body, but the spirit lives on. |
| | C) | a time to celebrate the person's life. |
| | D) | a terrifying experience. |
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11 | | Denial of death in Canada takes all of the following forms EXCEPT: |
| | A) | use of phrases like "passing on." |
| | B) | the persistent search for a fountain of youth. |
| | C) | the emphasis on human suffering rather than on prolonging life. |
| | D) | rejection of the elderly. |
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12 | | One day Jennifer gets a call from her sister who informs Jennifer that her niece has died from sudden infant death syndrome (SIDS). As a physician, Jennifer realizes that while the cause of SIDS remains unknown, her niece actually died because: |
| | A) | she had a heart attack |
| | B) | she stopped breathing. |
| | C) | she had a massive cerebrovascular accident. |
| | D) | her immune system failed. |
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13 | | Death in childhood is most often the result of: |
| | A) | accidents or illness. |
| | B) | SIDS. |
| | C) | childhood diseases. |
| | D) | cancer. |
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14 | | Death in adolescence is most likely to occur from any of the following EXCEPT: |
| | A) | suicide. |
| | B) | motor vehicle accidents. |
| | C) | homicide. |
| | D) | cancer. |
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15 | | Older adults are more likely to die of: |
| | A) | chronic disease. |
| | B) | accidents. |
| | C) | suicide. |
| | D) | homicide. |
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16 | | Most preschool-aged children are not upset by seeing a dead animal. The most likely reason is that: |
| | A) | the dead animal is not a pet and therefore they have not become attached to it. |
| | B) | they have often seen dead animals and heard of death in stories and on TV. |
| | C) | they have had little experience with death; therefore they have not learned to fear it. |
| | D) | they believe the dead can be made alive again. |
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17 | | An individual who believes that people die because they were bad or because they wanted to die is most likely in the ______________ period of development. |
| | A) | infancy |
| | B) | early childhood |
| | C) | middle or late childhood |
| | D) | adolescent |
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18 | | The individual who glosses over death and kids about it, but can also describe it in terms of darkness and nothingness, is most likely in the ______________ period of development. |
| | A) | middle childhood |
| | B) | late childhood |
| | C) | adolescent |
| | D) | early adulthood |
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19 | | The order of the stages of dying as proposed by Elisabeth Kübler-Ross are: |
| | A) | denial, anger, bargaining, acceptance, depression. |
| | B) | anger, denial, bargaining, depression, acceptance. |
| | C) | denial, anger, bargaining, depression, acceptance. |
| | D) | anger, bargaining, acceptance, depression, denial. |
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20 | | Denial of death comes in all of the following forms EXCEPT: |
| | A) | denying that death is really going to take place. |
| | B) | eventual awareness of financial considerations. |
| | C) | a permanent defense. |
| | D) | eventual awareness of unfinished business. |
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21 | | During which stage of death is a person most likely to request to be alone? |
| | A) | denial |
| | B) | bargaining |
| | C) | depression |
| | D) | acceptance |
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22 | | When a terminally ill patient becomes depressed, others should: |
| | A) | attempt to cheer up the patient. |
| | B) | talk about anything other than death. |
| | C) | tell the medical staff about it. |
| | D) | accept the depression as normal. |
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23 | | A major criticism of Kübler-Ross' stages of dying is that they: |
| | A) | are not stages, but potential reactions to dying. |
| | B) | only apply to females. |
| | C) | last much longer than she thought. |
| | D) | only explain the pattern found in older adults. |
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24 | | After learning she has terminal cancer, Ivana joins a wellness group and begins taking control of as many aspects of her life as she can, believing this will cause her cancer to go into remission. Based on the research, we might expect that Ivana will: |
| | A) | die more quickly. |
| | B) | become more alert and cheerful. |
| | C) | become depressed if this does not work. |
| | D) | become more serious and compulsive. |
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25 | | John's mother recently died. He is experiencing emotional blunting, numbness, disbelief, and outbursts of panic. He is exhibiting which dimension of grief? |
| | A) | immediate reaction |
| | B) | pining |
| | C) | separation anxiety |
| | D) | despair and sadness |
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26 | | A major problem with long-term grief is the potential for: |
| | A) | depression and suicide. |
| | B) | keeping one's feelings locked away. |
| | C) | sadness turning to uncontrollable rage. |
| | D) | internalization of feelings that leads to the breakdown of the immune system. |
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27 | | Cross-cultural research suggests that healthy grieving involves: |
| | A) | breaking bonds with the deceased. |
| | B) | survivors returning to their autonomous lifestyles. |
| | C) | forgetting the deceased as quickly as possible. |
| | D) | a wide range of patterns, with no one ideal way to grieve. |
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28 | | In Bali, the bereaved are encouraged to: |
| | A) | dwell at length on their grief. |
| | B) | carry on much as before the death of the loved one. |
| | C) | laugh and be joyful. |
| | D) | maintain ties with the deceased. |
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29 | | When mourners repeatedly go over all of the events that led up to the death, they are: |
| | A) | trying to make sense of their world. |
| | B) | creating a potentially harmful situation for their recovery. |
| | C) | setting themselves up for continuing depression. |
| | D) | trying to escape blame for the loved one's death. |
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30 | | Research has found all of the following traits to be common for widowed women EXCEPT being: |
| | A) | lonely. |
| | B) | likely to remarry. |
| | C) | poor. |
| | D) | at risk for health problems. |
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31 | | Approximately ____ percent of corpses around the world are disposed of by burial. |
| | A) | 25 |
| | B) | 35 |
| | C) | 45 |
| | D) | 55 |
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32 | | One way to avoid the potential exploitation that may occur in connection with the high cost of funeral expenses is to: |
| | A) | purchase your own funeral arrangements in advance. |
| | B) | put more legal restrictions on the funeral directors and funeral homes. |
| | C) | establish state-run funeral parlors. |
| | D) | prohibit embalming and place limits on funeral costs. |
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33 | | Which practice is NOT commonly associated with Amish mourning? |
| | A) | holding the funeral ceremony in a barn in warmer months |
| | B) | a horse and buggy "hearse" |
| | C) | a deceased body dressed in white |
| | D) | support for bereaved family members |
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34 | | Chanah and her family are home mourning the death of Chanah's father, Moshe, who has just been buried. During this 7-day period, visitors will come join Chanah and her family to help them deal with feelings of guilt. This period of mourning is referred to as: |
| | A) | aninut. |
| | B) | avelut. |
| | C) | shivah. |
| | D) | sheloshim. |
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