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Counseling the Terminally Ill & Bereaved, Fall 2007

Multiple Choice
Identify the letter of the choice that best completes the statement or answers the question.
 

 1. 
The definition of death
a.
varies within and between cultures.
b.
is the same for everyone within a culture.
c.
is the same across all cultures.
d.
never changes.
 

 2. 
When Ahmad thinks of death, he thinks of a wake, a funeral, and a memorial service. Ahmad defines death as
a.
a statistic.
b.
an event.
c.
a thief of meaning.
d.
an analogy.
 

 3. 
Which is not associated with "death as a state of being"?
a.
being transformed into a soul
b.
being with God and endlessly happy
c.
being nothingness
d.
being afraid of dying
 

 4. 
After an accident, Steve's heart is not beating and he has stopped breathing. Steve is
a.
brain dead.
b.
mourning.
c.
in a persistent vegetative state.
d.
clinically dead.
 

 5. 
A flat electroencephalogram for ten minutes is one of the criteria for
a.
clinical death.
b.
euthanasia.
c.
brain death.
d.
death as a mystery.
 

 6. 
When attempting to determine if someone is "brain dead" a physician would be unlikely to ask,
a.
"Do the brain cells still contain neurotransmitter"?
b.
"Does the body respond to a pin prick?"
c.
"Has there been any movement for the past hour?"
d.
"Are the pupils responsive?"
 

 7. 
Susan's cortical functioning has ceased, but her brainstem is still active. Susan would be best described as
a.
in a persistent vegetative state.
b.
brain dead.
c.
clinically dead.
d.
euthanized.
 

 8. 
A person in a persistent vegetative state would be
a.
considered clinically dead.
b.
capable of keeping their heart beating without assistance.
c.
able to engage in primitive thought.
d.
considered brain dead.
 

 9. 
Dr. Wei will be teaching a course completely devoted to the topic of mercy killing. What title would best describe the content of the course?
a.
"Brain Death 101"
b.
"Clinical Death 101"
c.
"Persistent Vegetative States 101"
d.
"Euthanasia 101"
 

 10. 
Euthanasia is a bioethical
a.
issue.
b.
procedure.
c.
fact.
d.
process.
 

 11. 
Dr. Kelly has just purposely killed a patient by injecting her with a lethal amount of medication. This patient had an incurable illness and requested to die, rather than go through a long painful treatment. This is an example of
a.
clinical death.
b.
passive euthanasia.
c.
active euthanasia.
d.
inducing a persistent vegetative state.
 

 12. 
While some would call what Dr. Jack Kevorkian does murder, it is also thought by others to represent an example of
a.
clinical death.
b.
passive euthanasia.
c.
physician assisted suicide.
d.
inducing a persistent vegetative state.
 

 13. 
Nathan wants to be sure that, in the event he is incapable of communicating with doctors, he wants no life support used to keep him alive, and he also wants to give his wife the legal right to speak for him in that situation. In order to do all this with one document, Nathan should complete a(n)
a.
living will.
b.
durable power of attorney.
c.
EEG.
d.
survey of near-death experiences.
 

 14. 
Before she died, Lee completed a document specifying her wishes to be taken off life support should she be in a position where she could not speak for herself and her recovery was all but impossible. Because the form did not give authority to anyone else to speak for her, Lee's document was most likely a(n)
a.
living will.
b.
EEG.
c.
survey of near-death experiences.
d.
durable power of attorney.
 

 15. 
While they differ in some respects, both a living will and a durable power of attorney
a.
identify someone to act on your behalf if you become incapacitated.
b.
make it legal for a physician to perform active euthanasia.
c.
allow others to know one's preferences concerning issues like whether you want to be put on life support.
d.
cannot be written until a person is about to lose the ability to make their own decisions.
 

 16. 
Dr. Steinmetz decides to follow the wishes of her patient and withhold treatment for the patient's terminal cancer, thus allowing the patient to die. This is an example of
a.
a near-death experience.
b.
passive euthanasia.
c.
bioethics.
d.
active euthanasia.
 

 17. 
After Maxine was in a severe car accident, her parents were informed that she was brain dead, but could be kept alive if she was put on a respirator immediately. Her families decision to not put her on the respirator would be considered
a.
a durable power of attorney.
b.
active euthanasia.
c.
murder.
d.
passive euthanasia.
 

 18. 
In the Netherlands, euthanasia would not be allowed unless
a.
a patient makes the request on numerous occasions.
b.
the individual is incompetent.
c.
at least one physician and at least one family member agree.
d.
they change their current constitution.
 

 19. 
Death anxiety would likely be the lowest for
a.
Sally, who is 80-years-old
b.
Jesse, who is 45-years-old
c.
Rikki, who is 30-years-old
d.
Lake, who is 21-years-old
 

 20. 
What is the correct order of Kübler-Ross' "5 stages of dying"?
a.
depression, acceptance, denial, bargaining, anger
b.
denial, anger, bargaining, depression, acceptance
c.
anger, depression, denial, acceptance, bargaining
d.
bargaining, denial, acceptance, anger, depression
 

 21. 
Stacey has been diagnosed with a terminal illness. She is currently going to different doctors to determine whether her diagnosis is correct. Stacey is probably in the __________ stage of dying.
a.
depression
b.
anger
c.
denial
d.
bargaining
 

 22. 
Devin has been told he only has a few more months to live. He is totally unable to deal with people, because he knows everyone he sees is going to outlive him. "It's not fair. Why is this happening to me?" is something he says over and over to himself. He feels frustrated and alone. He is most likely in the __________ stage of dying.
a.
depression
b.
anger
c.
denial
d.
bargaining
 

 23. 
Sandy knows she is going to die in a few months. She seems calm, and concerned more about how to help her family deal with her death than with her own mortality. She seems to be disconnecting herself from people and things and at peace. Sandy is most likely in the __________ stage of dying.
a.
denial
b.
bargaining
c.
depression
d.
acceptance
 

 24. 
Brent has been diagnosed with terminal cancer. Today he spent hours praying: "Please, I'll do anything. Just give me one more chance. I'm so sorry. I'll be the best person, just please.....give me another chance." Brent is most likely in the __________ stage of dying.
a.
bargaining
b.
acceptance
c.
depression
d.
denial
 

 25. 
In Kübler-Ross' original theory, the emotion of __________ was thought to typically precede feelings of acceptance.
a.
anger
b.
euphoria
c.
depression
d.
resignation
 

 26. 
With regard to her theory, Kübler-Ross would agree with all of the following possibilities, except
a.
some individuals do not experience any of the stages of dying.
b.
some individuals go through the stages of dying in a different order.
c.
individuals progress through stages at different rates.
d.
different individuals may have different emotional responses.
 

 27. 
Who is best associated with the "tasks and milestones" approach to dying?
a.
Kübler-Ross
b.
Erikson
c.
Byock
d.
Piaget
 

 28. 
Because Tom believes in a task-based approach to dying, he is most likely to tell his terminally ill best friend, Jerry, to
a.
"Use the time left to seek out the greatest physical stressor you can imagine."
b.
"Be sure to keep in touch and use me as a support."
c.
"Deny, deny, deny!"
d.
"Realize that dying follows a prescribed set of stages that you should prepare to move through."
 

 29. 
You're buying a book that explains the contextual theory of dying. Which of these would be the most likely title for this book?
a.
"Understanding the Stages of Death"
b.
"Coping with Death: Universal Strategies"
c.
"Factors that Influence Coping with Death"
d.
"A Task-Based Approach to Coping with Death"
 

 30. 
A(n) __________ is often used to describe the duration of time between the onset of dying and death itself.
a.
death trajectory
b.
end-of-life scenario
c.
hospice
d.
final scenario
 

 31. 
Which is not a component of death anxiety?
a.
pain
b.
interruption of goals
c.
spiritual uncertainty
d.
humiliation
 

 32. 
Who is an example of someone using the most common way of dealing with death anxiety?
a.
Jean, who is becoming more fearful the older she gets
b.
Martin, who lives life to the fullest
c.
Norma, who seeks professional counseling
d.
Louis, who becomes more committed to his church
 

 33. 
Jensen is dying. She is explaining to her family that she would like to spend her last days alone in her country home with just she and her husband. These arrangements are an example of
a.
a hospice.
b.
denial.
c.
death anxiety.
d.
a final scenario.
 

 34. 
Before he dies, Juan is checking his insurance, rewriting his will, and making arrangements for his funeral. Juan is dealing with
a.
death anxiety.
b.
bereavement.
c.
end-of-life issues.
d.
grief work.
 

 35. 
Afi is terminally ill. She is being sent to an institution that provides special support for people who are dying and their families. Afi is most likely being sent to a(n)
a.
skilled care nursing home.
b.
hospital.
c.
hospice.
d.
intermediate care nursing home.
 

 36. 
The hospice philosophy is best summarized as
a.
"prevent death at all costs."
b.
"promote death with dignity."
c.
"die a natural, pain-relief free death."
d.
"everyone should die at home."
 

 37. 
As a hospice staff member, you would be most surprised to hear your supervisor say,
a.
"We must make every effort to satisfy the realistic life-goals of our clients."
b.
"Inform the clients that it is OK to end their relationships before they die."
c.
"Be sure to inform clients that they can have as many drugs to relieve pain as they need."
d.
“Remember that fear is a natural part of the dying process, so you should try and encourage it in the clients."
 

 38. 
Which is the best advice for an individual trying to overcome grief?
a.
strengthen ties to the deceased
b.
repress the loss
c.
express the emotions you feel
d.
adopt ways of living identical to those used when the deceased was still alive
 

 39. 
The grieving process is much __________ than most people believe it to be.
a.
shorter
b.
easier
c.
less complex
d.
longer
 

 40. 
Instead of conceptualizing the final stage of grief as "recovery," it might be better thought of as
a.
repression of the most damaging emotions.
b.
learning to live with loss.
c.
spiritual rejection.
d.
active neurotocism.
 

 41. 
Anticipatory grief has been shown to reduce
a.
the incidence of depression following the death of a family member.
b.
a parent's acceptance of the death of a child.
c.
the acquisition of effective social functioning following the death of a loved one.
d.
the speed at which normal happiness is obtained.
 

 42. 
Recovering from the death from a loved one is usually significantly faster if
a.
it was the death of a child.
b.
it was the death of a spouse.
c.
the death was unexpected.
d.
the death was expected.
 

 43. 
Which statement regarding risk factors in grief is most accurate?
a.
There are no personality traits that protect people from the effects of bereavement.
b.
Women have higher mortality rates following bereavement than men.
c.
Older people suffer more health consequences following bereavement than younger people.
d.
Social support has no impact on how well someone will cope with the effects of bereavement.
 

 44. 
Which would not be found on a list of "normal grief reactions"?
a.
relief
b.
lack of enthusiasm
c.
confusion
d.
euphoria
 

 45. 
Chung is trying to get through numerous conflicting emotions and come to grips with his bereavement. Chung is involved in
a.
a near-death experience.
b.
clinical death.
c.
grief work.
d.
passive euthanasia.
 

 46. 
Barry's brother died on the 4th of July. Now, on every 4th of July, Barry gets very sad and thinks about his dead brother. This experience of Barry's is best described as a(n) __________ reaction.
a.
anniversary
b.
anticipatory
c.
abnormal
d.
passive
 

 47. 
Grief work refers to the __________ side of coming to terms with bereavement.
a.
social
b.
psychological
c.
physical
d.
financial
 

 48. 
Researchers believe that with regard to the funeral of a relative,
a.
it is important for children to attend.
b.
children should only attend if they are over 12 years old.
c.
only concrete operational thinkers should attend.
d.
children should almost never attend.
 

 49. 
What would be the most confusing thing to say to a 5-year-old whose mother just died?
a.
"Your mommy will not be around to play with you any more."
b.
"Your mommy didn't die because a monster got her. People sometimes die when they get very sick."
c.
"Your mommy has gone away to a better place."
d.
"We are going to have to bury your mommy just like we had to bury your hamster when she died."
 

 50. 
Most people have their first realistic confrontation with death when they are __________ in response to the death of a__________.
a.
children; pet
b.
an adolescent; friend
c.
a young adult; spouse
d.
a middle-age adult; parent
 

 51. 
Kiko just experienced a miscarriage after being pregnant for nearly seven months. In what way would her grief be different than that of Ishi, who's child died unexpectedly at six months of age?
a.
Kiko would display significantly less sadness.
b.
People are less likely to acknowledge Kiko’s child and would expect her  to recover much faster.
c.
Kiko would exhibit more anticipatory grief.
d.
People would avoid making comments about Kiko's situation.
 

 52. 
Although Dr. C. suggests it’s about six weeks, In America, an unwritten but "acceptable" amount of time to grieve the death of a spouse is about
a.
three months.
b.
six months.
c.
nine months.
d.
one year.
 

 53. 
Chuck and Barb's infant has just died of SIDS. Which of these are they least likely to experience?
a.
guilt
b.
acceptance of the loss
c.
a more negative view of the world
d.
high anxiety
 

 54. 
The death of an unmarried life-long homosexual partner typically results in
a.
abnormal grief.
b.
anticipatory grief.
c.
a normal pattern of grief that is not as intense as seen in married heterosexual spouses.
d.
a normal pattern of grief, along with additional issues related to sexual orientation.
 

 55. 
According to Dr. Nuland, About ______ to _____ of people with ischemic heart disease will die within an hour of one of their attacks.
a.
10 to 20%
b.
20 to 40%
c.
40 to 50%
d.
50 to 60%
 

 56. 
According to Nuland, ________ is America’s leading killer.
a.
AIDS
b.
pneumonia
c.
heart disease
d.
suicide
 

 57. 
Each day at least _____ Americans die of cardiac ischemia.
a.
150
b.
1500
c.
15,000
d.
150,000