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According to the text, the "Five Wishes" document is now considered legally binding in:


A) 5 states
B) 12 states
C) 42 states
D) all 50 states and the District of Columbia

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According to terror management theory, we deal with uncertainly and tragedy in our lives by:


A) becoming depressed
B) establishing a positive self-concept
C) going into a state of self-denial
D) focusing on the quality of our interpersonal relationships with friends and family

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Which of the following is NOT true regarding hospice care?


A) Hospice care is usually covered by insurance.
B) Hospice care is designed to help the ill person live as independently as possible.
C) Hospice care is designed to help the family of the ill person understand the process of dying.
D) Hospice care originated in the late 1800s in New England.

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Louis has never recovered from the death of his wife 15 years ago. This sort of pathological mourning process is labeled as:


A) posttraumatic stress disorder
B) chronic grief
C) bereavement overload
D) palliative grief

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The goal of hospice is to:


A) keep down the cost of health care
B) prevent contamination from contagious diseases
C) help terminally ill patients live their final days as fully and independently as possible
D) allow the terminally ill person a spiritual retreat before death

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George is diagnosed with Alzheimer's disease, so he and his wife consult an attorney to draw up and sign documents giving George's wife the legal authority to make decisions about George's care. Such a document is called:


A) living will
B) a probated will
C) a medical power of attorney
D) a right to die document

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Erik has a terminal illness which is causing him great pain. He and his family are discussing their options with Erik's physician, including having Erik himself self-administer a lethal drug. If this is the option Erik chooses, the process would be an example of:


A) passive euthanasia
B) active euthanasia
C) negative euthanasia
D) positive euthanasia

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Brittany, age 23, has just been told by her doctor that she has only a few months to live due to a heart ailment. Her reaction is to say that the diagnosis must be wrong and to seek out opinions from other doctors. Brittany's reaction is best considered to be an example of which of Kübler-Ross's five stages of dying?


A) depression
B) anger
C) denial
D) acceptance

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Gina's husband of 47 years died, and Gina's current focus is on learning how to care for herself, make decisions for herself, and forgive her husband for leaving her all alone. Gina's focus is best considered to be an example of the tasks usually associated with which of the following stages of grieving?


A) the shock phase
B) the overload phase
C) the renewal phase
D) the healing phase

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Terry, a 73-year-old widower, was in the hospital for six months with cancer. Finally, the painful treatments got to be too much for him and he just gave up and let himself die. This passive form of suicide is best considered to be an example of:


A) suicide-by-proxy
B) anticipatory suicide
C) submissive death
D) unilateral death

Correct Answer

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The American Medical Association has approved a set of guidelines for end-of-life care, and these guidelines emphasize that patients and their families should have access to full information about their condition and should be assured their wishes will be followed to the extent possible.

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According to the text, the term "grief work" emphasizes the short-term adjustments that must be made following the death of a loved one.

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Which of the following is NOT a reason cited in the text for why terminally ill children pose a special challenge to those providing end-of-life care?


A) Children do not have the same cognitive abilities as adults and they sometimes understand their illness in different ways.
B) Parents usually have adequate time to thoroughly research all treatment options and they sometimes interfere with physician's orders.
C) Children's terminal diseases are often rare and little is known about the best course of treatment to use.
D) Terminal illness of children seems especially unfair and family members often have a very hard time coming to terms with the fact their child is dying.

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Which of the following lists the five stages of death and dying described by Kübler-Ross in the correct order?


A) denial, anger, bargaining, depression, acceptance
B) depression, denial, anger, bargaining, acceptance
C) anger, depression, denial, bargaining, acceptance
D) anger, denial, bargaining, depression, acceptance

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The highest rate of death among children for any single-year period occurs between the ages of 15 and 16.

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Brittany, age 23, has just been told by her doctor that she has only a few months to live due to a heart ailment. Her reaction is to say that the diagnosis must be wrong and to seek out opinions from other doctors. Brittany's reaction is best considered to be an example of which of Kübler-Ross's five stages of dying?


A) depression
B) anger
C) denial
D) acceptance

Correct Answer

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According to the text, the next edition of the Diagnostic and Statistical Manual that is used to classify mental disorders may well include a diagnostic category for chronic grief reactions.

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According to the text, which of the following conditions is most likely to be added as a diagnostic category in the next edition of the Diagnostic and Statistical Manual?


A) chronic grief
B) anticipatory grief
C) passive grief
D) active grief

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The text draws the conclusion that many people living in the United States today cope with death primarily through denial.

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For White adults over the age 85, which of the following is true?


A) Men are 10 times more likely to commit suicide than women.
B) Women are 10 times more likely to commit suicide than men.
C) Men are 4 times more likely to commit suicide than women.
D) Women are 4 times more likely to commit suicide than men.

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