Lecturer MCQs

Chapter 24: End-of-life care, dying and death

1. A survey by Najafi et al (2014)of 57 health care providers found that the most common attributes associated a ‘bad death’ were ______.

a. a slow death

b. severe pain or discomfort

c. not having family present

d. no privacy or respect

2. Miller et al. (2002) compared analgesic management of daily pain for two cohorts of dying nursing home residents enrolled or not enrolled in a hospice. They found that ______ of hospice residents and ______ of non-hospice residents in daily pain received no analgesics.

a. 5%, 17%

b. 23%, 15%

c. 17%, 5%

d. 15%, 23%

3. Which of these environments are not compatible with high-quality EOL care? (Select all appropriate answers)

a. hospitals

b. the home

c. hospice

d. care homes

4. Spiritual aspects are often missing in studies of EOL care. Williams (2006) found three main themes within spiritual perspectives at the end of life:

a. spiritual despair, spiritual work, and spiritual well-being

b. spiritual dissonance, spiritual exploration and spiritual connection

c. spiritual connection, spiritual comfort and spiritual catharsis

d. spiritual despair, spiritual comfort and spiritual balance

5. Respondents who believed their relative died in their preferred location were ______ times more likely to be satisfied with the EOL care that was provided.

a. 1.3

b.1.7

c.2.3

d. 2.7

6. ______ focuses on relief of suffering and psychosocial support in patients who are suffering pain and/or distress and, in a dying patient, can help bring closure near the end of life.

a. Hospice care

b. Care homes

c. Palliative care

d. Hospital care

7. Granek et al. (2016) found oncologists used different ways of coping with patient death. Which method does this description represent: ‘accepting and normalizing death and focusing on the positive, and on successes in the practice of oncology’.

a. spiritual coping strategies

b. relational coping strategies

c. cognitive coping strategies

d. behavioural coping strategies

8. The death notification process is often given to residents. ______ of whom felt inadequately trained for this task with over 25% reporting that calls went poorly.

a. 100%

b. 80%

c. 60%

d.40%

9. Shah, Kasper and Miller (2015) reviewed evidence on public attitudes to brain death and vital organ transplantation. The data suggested that people generally do not understand:

a. uncontested biological facts about brain death

b. the legal status of brain death

c. that organs are procured from brain dead patients while their hearts are still beating

d. all of these

10. In some countries, informed consent is not obtained prior to harvesting of organs. It is estimated that more than 90% of the organs transplanted in ______ before 2010 were procured from prisoners.

a. The United States

b. China

c. India

d. Singapore