Facing Death Living with Life-Threatening – Exam Prep – Ch.7

The Last Dance: Encountering Death & Dying, 11e (DeSpelder)

Chapter 7 Facing Death: Living with Life-Threatening Illness

1) What disease used to mean a terminal prognosis but now because of early detection and treatment advances, is not always fatal?

A) Black Plague

B) Heart Disease

C) Cancer

D) Chronic liver failure

2) Cancer symbolizes the

A) number ten cause of death in America.

B) worst fears of our age.

C) disease for passive-type people.

D) status of a fatal disease.

3) Which of the following terms BEST describes the process of a person who questions, "Am I responsible for bringing this illness on myself"?

A) Dying trajectory

B) Magical thinking

C) Reactive thinking

D) Physiological guilt

4) Corr's primary dimensions in coping with dying are physical, psychological, spiritual, and

A) religious.

B) autonomy.

C) hope.

D) social.

5) Which statement best reflects the closed awareness context of family interactions in response to a life-threatening illness?

A) Non-verification of the illness, although the patient is aware that his or her prognosis may involve death.

B) The dying person is not aware of his or her impending death although others may know about it.

C) Participants sidestep direct communication about the patient's condition.

D) The situation is acknowledged by all parties.

6) According to Glaser and Strauss, which of the following communication styles are used by families when a family member is diagnosed with a life-threatening illness?

1. Closed awareness

2. Open awareness

3. Mutual pretense

4. Open pretense

A) 1, 2, and 3

B) 1, 2, and 4

C) 1, 3, and 4

D) 2, 3, and 4

7) Which of the following statements is an example of the open awareness context of family interactions in response to a life-threatening illness?

A) Death is acknowledged and discussed.

B) Both the patient and others act as if the patient will recover.

C) A dying person tests family members in order to elicit information.

D) Not telling the terminally ill patient that he or she is likely to die but being open with the staff.

8) Mutual pretense, as a way of coping with painful circumstances such as a terminal illness,

A) is never a truly effective means of coping.

B) can be a useful short-term strategy for coping with a painful situation.

C) rarely occurs among family members.

D) will not be carried on to the end.

9) How many stages are associated with the model of coping with life-threatening illness presented by Elisabeth Kübler-Ross?

A) Three

B) Four

C) Five

D) Six

10) According to Kübler-Ross, all of the following are associated with a life-threatening illness EXCEPT

A) depression.

B) denial.

C) belief.

D) acceptance.

11) In Kenneth Doka's "Tasks in Coping with Life-threatening Illness," which phase is characterized by living with the disease and managing symptoms and side effects?

A) Terminal

B) Acute

C) Chronic

D) Psychological

12) According to Avery Weisman, the process of coping with a terminal illness can be divided into how many interrelated tasks?

A) Two

B) Three

C) Four

D) Five

13) According to Avery Weisman, coping with life threatening illness involves tasks of maintaining a sense of optimism and hope and confronting the problem and

A) revising one's plans as necessary.

B) attempting to strike a deal with fate or with God.

C) writing a family love letter to complete unfinished business.

D) retreating and conserving energy.

14) A crisis of self-identity begins with the initial shock of diagnosis as the person attempts to come to terms with the life-altering news is

A) preterminality and mitigation.

B) existential plight.

C) accommodation.

D) terminality plight.

15) Which of the following are the three major psychological and behavioral patterns that individuals use in coping with the threat of death as identified by Therese Rando?

1. Retreat and conservation of energy

2. Attack and evaluate the threat

3. Attempting to master or control the threat of death

4. Exclusion from the threat of death

A) 1, 2, and 3

B) 1, 2, and 4

C) 1, 3, and 4

D) 2, 3 and 4

16) What is the aim of meaning-based coping?

A) To manage the problem that is causing distress

B) To regulate the levels of distress

C) To maintain a person's sense of positive well-being

D) To take an active role in determining treatment options

17) The spreading of cancer to various parts of the body is known as

A) cellular cancer.

B) metastasis.

C) osmosis.

D) transference regeneration.

18) Metastasis is BEST defined as

A) the contracting of a contagious disease.

B) fear of dying.

C) research done on various types of cancerous tumors.

D) the spreading of cancer to various parts of your body.

19) Cancer is classified according to how it has spread in the body. This process is called

A) phases.

B) steps.

C) staging.

D) pointing system.

20) What is the oldest and frequently employed form of cancer therapy?

A) Radiation

B) Chemotherapy

C) Surgery

D) Ethnomedicine

21) What therapy uses ionizing radiation to preferentially destroy cells that divide rapidly?

A) Radiation

B) Chemotherapy

C) CAM therapy

D) Surgery

22) Side effects experienced by patients receiving chemotherapy can include all of the following EXCEPT

A) nausea and digestive problems.

B) loss of hair.

C) cyanotic lymph nodes.

D) mouth sores.

23) The therapies included under complementary and alternative medicine are sometime referred to as

A) integrative medicine.

B) twenty-first century medicine.

C) voodoo.

D) non-standard practice medicine.

24) Bioenergetics, homeopathic medicine, and yoga are what form of cancer treatment option?

A) Complementary and alternative therapies

B) Bio-medicine

C) Naturopathic

D) Not considered valid therapies in the U.S.

25) What is visualization?

A) The patient imagines what the afterlife will be like.

B) The patient imagines the therapeutic agent inside the body helping to restore well-being.

C) It is a meeting of terminally ill patients gathered to discuss how their families will deal with their deaths.

D) Through the integration of emotions and cognitions, patients bring about changes in their families' perceptions about death and the afterlife.

26) What is ikigai ryoho?

A) An ancient belief that if death is faced positively, a favorable afterlife will follow

B) A modern Japanese treatment for AIDS

C) A therapy to help a patient's family deal with the death of a loved one

D) A psychotherapy that helps patients live fully and meaningfully

27) A psychotherapeutic technique used in Japan to assist cancer patients in finding meaning and living life to the fullest is known as

A) mai lai rioto.

B) ikigai ryoho.

C) shibata.

D) ayurveda.

28) What is ethnomedicine?

A) Music and art therapy

B) Prayer and mental healing

C) Bioenergetics and meditation

D) Conventional biomedicine and folk beliefs

29) What is the positive response to a treatment that a person believes to be an effective therapy?

A) Ethnomedicine

B) Existential plight

C) Adjuvant therapy

D) Placebo effect

30) Methods of treatment that the medical establishment considers unproved or potentially harmful are called

A) curanderismo.

B) radiation therapies.

C) unorthodox therapies.

D) complementary therapies.

31) What term do Shupe and Hadden use to identify varied therapies such as "faith healing, supernatural healing, and folk healing"?

A) Cross-cultural healing

B) Symbolic healing

C) Innovative healing

D) Body work

32) Which is the most common symptom in terminally ill patients?

A) Depression

B) Fear

C) Pain

D) Anger

33) Digitalis, prescribed for heart ailments come from

A) the foxglove plants.

B) the bark of a white willow tree.

C) mold.

D) tea leaves.

34) Norman Cousins stated, "The great tragedy of life is not death but what dies inside us as we

A) travel this world."

B) live."

C) march on."

D) age."

35) Chronic pain usually persists longer than

A) one to two weeks.

B) two to four weeks.

C) one to three months.

D) three to six months.

36) Which of the following statements about pain is true?

A) Pain can be directly measured.

B) Responses to pain are culturally shaped.

C) Recent therapies completely eliminate pain in terminal illness.

D) Morphine is never administered to patients as a way of managing pain.

37) It is important to distinguish between pain and

A) perception.

B) acute pain.

C) suffering.

D) chronic pain.

38) According to Yvette Colón of the American Pain Foundation, what is a critical first step in assessing and managing pain?

A) Asking family members

B) Taking a thorough medical history

C) Belief that pain is real

D) Observing facial expressions and non-verbal cues for evidence of pain

39) Which of the following BEST describes a lingering dying trajectory?

A) A person dies in a car accident.

B) A patient dies from a progressive chronic illness.

C) A person dies from a massive heart attack.

D) A patient dies from a cerebral aneurysm.

40) A patient's "total pain" includes

1. psychological.

2. economic.

3. social.

4. spiritual.

A) 1, 2, and 3

B) 1, 2, and 4

C) 2, 3, and 4

D) 1, 3 and 4

41) What did Eric Cassell write about the social role of the dying patient?

A) The death of the body is a physical phenomenon whereas the passing of the person is nonphysical.

B) Illness is accompanied by a social role and responsibility.

C) The social role of the dying patient is the same as the social role of other patients.

D) The social role of the dying patient includes maintaining the illusion of health.

42) Which of the following are spiritual needs of dying patients?

1. Need for hope and creativity

2. Need to complete a will for loved ones

3. Need to give and receive love

4. Need for meaning and purpose

A) 1, 2, and 3

B) 1, 3, and 4

C) 1, 2, and 4

D) 2, 3, and 4

43) Often, the only task that matters in being with someone who is dying is to

A) offer food and drink.

B) make gentle attempts to keep the person quiet and at rest.

C) steer conversations away from the afterlife.

D) sit still and listen.

44) "Magical thinking" is a great way for the dying patient to fantasize about the afterlife.

45) The Kübler-Ross model of coping has no bearing today on understanding how people experience the prospect of dying.

46) According to Rando, coping is limited to psychological, cognitive, and emotional processes.

47) Palliation of symptoms using surgery may be used to improve the quality of life.

48) Chemotherapy involves the use of toxic drugs.

49) The study of medicinal plants has become unimportant to pharmacology in the twenty-first century.

50) A statement from the federal Food and Drug Administration (FDA) states there are now hundreds of sound scientific studies to support the medical use of marijuana.

51) Chronic pain may affect sleep and appetite but doesn't result in lost sexual interest.

52) Pain can be directly measured and observed.

53) For decades the most useful agents for the treatment of pain associated with advanced disease were opioid analgesics.

54) Over 50 percent of the world's population has adequate access to opioid medications for patient pain control.

55) A massive heart attack is illustrative of one type of dying trajectory.

56) People near the end of life in the active dying stage are often more comfortable without foods or liquids.

57) Terminal restlessness is a welcomed medical condition showing the ability to maintain attention at the end-of-life.

58) In her essay titled "The Eyes of a Dying Man", Rando suggests that being with a dying person at the moment of death is transformative.