Read each question carefully and then select the best answer.

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.
2		Why is it more difficult to determine whether someone is dead now than it was 100 years ago?
			A)	Because fewer people die at home today.
			B)	Because medical technology has made it possible to live much longer today.
			C)	Because medical technology has made it possible to create differing definitions of death.
			D)	Because the development of different religions has given rise to different philosophies of the meanings of life and death.
3		Which of the following statements about the living will is FALSE?
			A)	It is a legally binding document.
			B)	Only the terminally ill can write one.
			C)	The individual must be in a clear state of mind when writing it.
			D)	The document contains the individual's wishes regarding medical treatment.
4		Tom was in a major car accident and, as a result, cannot live without being hooked up to a respirator. After several months, Tom's parents decide to have the respirator turned off and Tom dies 2 days later. This is an example of:
			A)	uninformed euthanasia.
			B)	informed euthanasia.
			C)	active euthanasia.
			D)	passive euthanasia.
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.
6		U.S. physicians' attitudes about active euthanasia are primarily:
			A)	supportive of it.
			B)	mixed.
			C)	opposed to it.
			D)	more in favor of it than of passive euthanasia.
7		Recent scientific advances in the United States have led to more people:
			A)	dying a painless and easy death in their own home.
			B)	living a better quality life in their final stages of dying.
			C)	dying a painless and easy death in the hospital.
			D)	suffering more and in pain longer before they die.
8		The Institute of Medicine (1997) reported that death in America is:
			A)	most often an easy process.
			B)	often lonely, prolonged, and painful.
			C)	usually made much easier through use of medication.
			D)	increasingly a family-based event.
9		Which of the following medical interventions would MOST likely be found in a hospice?
			A)	morphine
			B)	respirator
			C)	dialysis machine
			D)	heart-lung machine
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.
11		Older adults are more likely to die of:
			A)	chronic disease.
			B)	accidents.
			C)	suicide.
			D)	homicide.
12		Two hundred years ago, how many children died before their 10th birthdays?
			A)	5 percent
			B)	10 percent
			C)	25 percent
			D)	50 percent
13		An individual is MOST likely to die:
			A)	at home.
			B)	in a hospice.
			C)	in a hospital.
			D)	in a car accident.
14		Kim is having difficulty coping with the death of her 3-month-old son, who appeared healthy but stopped breathing for no apparent reason. What was the likely cause of the baby's death?
			A)	asthma
			B)	SIDS
			C)	respiratory distress syndrome
			D)	pneumonia
15		Which of the following statements is FALSE regarding young children and their perception of death?
			A)	They tend to confuse death with sleep.
			B)	They often believe that only people who want to die actually die.
			C)	They become upset by the sight of a dead animal or by being told that a person had died.
			D)	They believe that the dead can be brought back to life by magic or by giving them food or medical treatment.
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.
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
18		In a recent review of research on children's conceptions of death, it was concluded that children probably do not view death as universal and irreversible until what age?
			A)	2
			B)	6
			C)	9
			D)	13
19		What is the third leading cause of death among 10-19 year olds in the United States?
			A)	suicide
			B)	car accidents
			C)	lung cancer
			D)	illness and disease
20		Ken has decided not to tell anyone that he is going to attempt suicide. He is most likely a(n):
			A)	older adult.
			B)	middle-aged adult.
			C)	younger adult.
			D)	adolescent.
21		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.
22		Elisabeth Kübler-Ross believed that, as one proceeds through the stages of death, the person tends to move from:
			A)	shock to relief.
			B)	denial to shock.
			C)	acceptance to bargaining.
			D)	denial to acceptance.
23		Adam has been diagnosed with incurable cancer. However, he promises to lead a reformed life dedicated to God if God will spare his life. Adam is in which of Kübler-Ross' stages of dying?
			A)	denial
			B)	hope
			C)	bargaining
			D)	acceptance
24		The stage of death during which a person may wish to be alone is:
			A)	anger.
			B)	denial.
			C)	bargaining.
			D)	acceptance.
25		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.
26		A major criticism of Kübler-Ross' stages of dying is that they:
			A)	don't actually form an invariant sequence.
			B)	only apply to females.
			C)	last much longer than she thought.
			D)	only explain the pattern found in older adults.
27		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.
28		For a terminally ill person, which of the following can be the MOST useful benefit of denying one's imminent death?
			A)	Denial shields the person from addressing the issue of death.
			B)	Denial helps shield family members from negative feelings.
			C)	Denial encourages the person to further develop his or her understanding of what will happen after death.
			D)	Denial can lead the dying person to a perception of control over his or her circumstances.
29		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.
30		Grief is MOST like:
			A)	an emotional volcano that erupts then slowly dies out.
			B)	a roller coaster because it goes up and down.
			C)	a sequence of stages, each with a specific length of time.
			D)	a flood that gradually swells to an emotional pitch.
31		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.
32		How can grief help survivors make sense of the world?
			A)	It helps survivors by saving them from painful suffering.
			B)	It prompts survivors to try to explain what caused the death so they can understand it and heal from it.
			C)	It prompts survivors to blame someone else as being responsible for the death so they can reduce their own feelings of guilt.
			D)	It prompts survivors to reflect on and improve their own health and place greater value on their own lives.
33		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.
34		In the Jewish community, the members of a grieving family all walk together for a short distance to symbolize their:
			A)	common loss.
			B)	unity in grief.
			C)	return to society.
			D)	community unity.
35		Chanah and her family are home mourning the death of Chanah's father, Abie Moshe, who has just been buried. During this 7-day period, visitors will join Chanah and her family to help them deal with feelings of guilt. This period of mourning is called:
			A)	aninut.
			B)	avelut.
			C)	shivah.
			D)	sheloshim.