Last Dance Encountering Death and

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

Chapter 07
Facing Death: Living with Life-Threatening Illness

Multiple Choice Questions

1. (p. 260) What current illness symbolizes the worst fears about dying?
A. Black Plague
B. AIDS
C. Cancer
D. Chronic liver failure

2. (p. 260) 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. (p. 262) 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. (p. 263) Corr's primary dimensions in coping with dying are physical, psychological, spiritual,
and
A. religious.
B. autonomy.
C. hope.
D. social.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

5. (p. 263) 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. (p. 263-264) 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. (p. 264) 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. (p. 264) 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.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

9. (p. 265) 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. (p. 265) According to Kubler-Ross, all of the following are associated with a life-threatening
illness EXCEPT
A. depression.
B. denial.
C. belief.
D. acceptance.

11. (p. 266) 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. (p. 267) 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. (p. 267) 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.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

14. (p. 268) The real estate wanted advertisement in the text is used to illustrate which of the
following?
A. Desires to accomplish plans that previously had been put off to be done in the future
B. The denial stage of coping with a life-threatening illness
C. A dying persons attempt to "get away from it all"
D. Preparing for death and saying goodbye

15. (p. 268) 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. (p. 269) 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. (p. 273) The spreading of cancer to various parts of the body is known as
A. cellular cancer.
B. metastasis.
C. osmosis.
D. transference regeneration.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

18. (p. 273) 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. (p. 274 and 276) A biopsy is BEST defined as

A. a partial autopsy.
B. cancer testing on laboratory animals.
C. the surgical removal of a small amount of tissue for diagnosis.
D. a twofold process for ending life.

20. (p. 275) What is the oldest effective form of cancer therapy?
A. Radiation
B. Chemotherapy
C. Surgery
D. Ethnomedicine

21. (p. 275) What is the oldest and most common form of cancer therapy?
A. Radiation
B. Chemotherapy
C. CAM therapy
D. Surgery

22. (p. 277) 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.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

23. (p. 278) 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. (p. 278) 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. (p. 279) 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. (p. 279) 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. (p. 279) 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.

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

28. (p. 280) What is ethnomedicine?

A. Music and art therapy
B. Prayer and mental healing
C. Bioenergetics and meditation
D. Conventional biomedicine and folk beliefs

29. (p. 281) 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. (p. 281) 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. (p. 282) 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. (p. 282) Which is the most common physical symptom in terminally ill patients?
A. Depression
B. Fear
C. Pain
D. Anger

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

33. (p. 282) What is now viewed as a "vital sign" that should be considered along with
temperature, pulse, respiration and blood pressure?
A. Pain
B. Spirituality
C. Hopefulness
D. Attitude

34. (p. 282) What is now viewed as the "fifth vital sign?"
A. Pain
B. Heart rate
C. Attitude
D. Family support

35. (p. 283) 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. (p. 283) 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. (p. 283) What is a critical first step in accessing and managing pain?
A. Interviewing for a possibility of addiction
B. Directly observing and measuring the pain
C. Believing that the pain is real
D. Acknowledging that pain and suffering are the same

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

38. (p. 283) According to Yvette Colon 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. (p. 283-285) Which of the following statements regarding pain is NOT true?
A. Responses to pain are culturally shaped.
B. Pain cannot be directly measured.
C. Patients with severe pain often obtain euphoric sensations from drugs.
D. Morphine works effectively to manage cancer pain.

40. (p. 286) 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 an cerebral aneurysm.

41. (p. 286) 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

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

42. (p. 289) 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.

43. (p. 291-292) 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

44. (p. 292) 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. stay close and do nothing.

True / False Questions

45. (p. 262) "Magical thinking" is a great way for the dying patient to fantasize about the
afterlife.
FALSE

46. (p. 266) The Kubler-Ross model of coping has no bearing today on understanding how
people experience the prospect of dying.
FALSE

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

47. (p. 268-269) According to Rando, coping is limited to psychological, cognitive, and emotional
processes.
FALSE

48. (p. 274-275) Palliation of symptoms using surgery may be used to improve the quality of life.
TRUE

49. (p. 277) Chemotherapy involves the use of toxic drugs.

TRUE

50. (p. 282) The study of medicinal plants has become unimportant to pharmacology in the
twenty-first century.
FALSE

51. (p. 282) 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.
FALSE

52. (p. 283) Chronic pain may affect sleep and appetite but doesn't result in lost sexual interest.
FALSE

53. (p. 283) Pain can be directly measured and observed.

FALSE

54. (p. 284) The most useful agents for the treatment of pain associated with advanced disease
are opioid analgesics.
TRUE

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Chapter 07 - Facing Death: Living with Life-Threatening Illness

55. (p. 284) Over 50 percent of the world's population has adequate access to opioid medications
for patient pain control.
FALSE

56. (p. 286) A massive heart attack is illustrative of one type of dying trajectory.
TRUE

57. (p. 288) People near the end of life in the active dying stage are often more comfortable
without foods or liquids.
TRUE

58. (p. 288-289) Terminal restlessness is a welcomed medical condition showing the ability to
maintain attention at the end-of-life.
FALSE

59. (p. 293) 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.
FALSE

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