LS CH 14 Death and Dying
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Questions and Answers

Which stage of grief is characterized by a person trying to make deals or promises to change the outcome of their impending death?

  • Anger
  • Denial
  • Depression
  • Bargaining (correct)

    • What is the term for the legal document that allows an individual to specify their medical treatment preferences in the event they are unable to communicate?

  • Do Not Resuscitate
  • Durable power of attorney for health care
  • Advance directive
  • Living will (correct)

    • Which theorist proposed the stages of death and dying, including denial, anger, bargaining, depression, and acceptance?

  • John Bowlby
  • Elisabeth Kübler-Ross (correct)
  • Erik Erikson
  • Sigmund Freud

    • What are Cheyne-Stokes respirations?

    <p>Irregular breathing pattern with periods of apnea followed by deep, rapid breathing</p> Signup and view all the answers

    Which of the following is a key factor that influences how an individual copes with loss?

    <p>Their previous losses</p> Signup and view all the answers

    What is anticipatory grief?

    <p>Grief experienced before an expected loss</p> Signup and view all the answers

    What is the purpose of mourning?

    <p>To facilitate adjustment to the loss</p> Signup and view all the answers

    What are some common emotional responses to grief?

    <p>Sadness and loneliness</p> Signup and view all the answers

    According to Bowlby's stages of separation, what is the final stage called?

    <p>Detachment</p> Signup and view all the answers

    What is the third phase of Bowlby's theory of mourning?

    <p>Disorganization and despair</p> Signup and view all the answers

    What type of loss is the death of a spouse considered?

    <p>Physical loss</p> Signup and view all the answers

    How do men and women typically react differently to becoming a widow or widower?

    <p>Women feel abandoned and deserted</p> Signup and view all the answers

    According to the text, what is one way to support children who have experienced loss?

    <p>Encourage them to openly express their fears, worries, and feelings</p> Signup and view all the answers

    What is one reason why the loss of a parent during the adult years may be difficult?

    <p>Parents are the individual's source of unconditional love and support</p> Signup and view all the answers

    What is one significant kind of loss mentioned in the text?

    <p>Loss of an unborn child</p> Signup and view all the answers

    According to the text, how does the death of a sibling affect surviving siblings?

    <p>They find it hard to bear and sometimes blame themselves</p> Signup and view all the answers

    Which age group expresses fear about going to the doctor and getting shots or having pain?

    <p>Preschoolers</p> Signup and view all the answers

    At what age do children seem concerned about punishment for wrongdoings?

    <p>5-6 years</p> Signup and view all the answers

    What age group has the capacity to understand the finality of death?

    <p>School-aged children</p> Signup and view all the answers

    How do adolescent teens view death?

    <p>As a distant possibility because they believe they are invincible and hearty</p> Signup and view all the answers

    According to the text, what is a sign that an individual is near death?

    <p>Decrease in senses</p> Signup and view all the answers

    What is the purpose of an advance directive?

    <p>To state the person's wishes for medical treatment</p> Signup and view all the answers

    What is a living will?

    <p>A form of advance directive that states the wishes of a person regarding life-sustaining treatment in case of serious illness</p> Signup and view all the answers

    What is a Do Not Resuscitate (DNR) order?

    <p>An order that guides health care workers with regard to the wishes of patients should they go into cardiac or respiratory arrest</p> Signup and view all the answers

    Which of the following is a controversial concept related to death and dying that touches on culture, religion, and ethical values?

    <p>Euthanasia</p> Signup and view all the answers

    In which states is assisted suicide currently legal in the United States?

    <p>Oregon, Washington, and Vermont</p> Signup and view all the answers

    What is the main focus of palliative care?

    <p>Relieving the suffering of the terminally ill</p> Signup and view all the answers

    What is the main emphasis of hospice care?

    <p>Providing comfort rather than curative measures</p> Signup and view all the answers

    What do right to die proponents believe?

    <p>Persons have the right to refuse medical treatment even if it may result in death</p> Signup and view all the answers

    What is euthanasia also known as?

    <p>Mercy killing</p> Signup and view all the answers

    True or false: Euthanasia refers to the deliberate ending of one's life and the withholding of treatment.

    <p>True</p> Signup and view all the answers

    True or false: Assisted suicide is legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    True or false: Right to die proponents believe that persons have the right to refuse medical treatment even if it may result in death.

    <p>True</p> Signup and view all the answers

    True or false: Palliative care is intended to prolong the individual's life.

    <p>False</p> Signup and view all the answers

    True or false: Hospice care focuses on curative measures.

    <p>False</p> Signup and view all the answers

    True or false: The dying process is viewed as a natural process in hospice care.

    <p>True</p> Signup and view all the answers

    True or false: Hospice care can be provided in a hospice designated unit.

    <p>True</p> Signup and view all the answers

    True or false: Hospice care emphasizes comfort over curative measures.

    <p>True</p> Signup and view all the answers

    True or false: Palliative care is another term for hospice care.

    <p>False</p> Signup and view all the answers

    True or false: Palliative care may shorten the individual's life but it is not the intention of this care method.

    <p>True</p> Signup and view all the answers

    Which theorist proposed the stages of death and dying, including denial, anger, bargaining, depression, and acceptance?

    <p>Elisabeth Kübler-Ross</p> Signup and view all the answers

    What is the term for the legal document that allows an individual to specify their medical treatment preferences in the event they are unable to communicate?

    <p>Living will</p> Signup and view all the answers

    True or false: Hospice care emphasizes comfort over curative measures.

    <p>True</p> Signup and view all the answers

    Which stage of grief is characterized by a person trying to make deals or promises to change the outcome of their impending death?

    <p>Bargaining</p> Signup and view all the answers

    Which stage of grief is characterized by a person feeling sadness or loneliness and being withdrawn and quiet?

    <p>Despair</p> Signup and view all the answers

    What is the initial reaction by a child to separation from his or her mother, according to Bowlby's stages of separation?

    <p>Protest</p> Signup and view all the answers

    What is the final stage of Bowlby's theory of mourning called?

    <p>Detachment</p> Signup and view all the answers

    What is the purpose of the numbing stage in Bowlby's theory of mourning?

    <p>To protect the individual from the magnitude of the loss</p> Signup and view all the answers

    Which stage of grief is characterized by a person trying to make deals or promises to change the outcome of their impending death?

    <p>Bargaining</p> Signup and view all the answers

    What is one reason why the loss of a parent during the adult years may be difficult?

    <p>Loss of financial support</p> Signup and view all the answers

    What is the main focus of palliative care?

    <p>Improving the patient's quality of life</p> Signup and view all the answers

    What is the term for the legal document that allows an individual to specify their medical treatment preferences in the event they are unable to communicate?

    <p>Living will</p> Signup and view all the answers

    According to the text, which of the following is a key sign that an individual is nearing death?

    <p>Decreased breathing patterns</p> Signup and view all the answers

    What is the purpose of an advance directive, as mentioned in the text?

    <p>To state the person's wishes for medical treatment</p> Signup and view all the answers

    True or false: Assisted suicide is legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    According to the text, what is the main emphasis of hospice care?

    <p>Pain management</p> Signup and view all the answers

    What is the purpose of an advance directive?

    <p>To specify medical treatment preferences in the event the individual is unable to communicate</p> Signup and view all the answers

    What is the purpose of mourning?

    <p>To grieve and process the loss of a loved one</p> Signup and view all the answers

    What is the main emphasis of hospice care?

    <p>To provide comfort and support to the dying patient</p> Signup and view all the answers

    What is the main focus of palliative care?

    <p>To provide comfort and support to the dying patient</p> Signup and view all the answers

    According to the text, what is one way to support children who have experienced loss?

    <p>All of the above.</p> Signup and view all the answers

    What is one significant kind of loss mentioned in the text?

    <p>All of the above.</p> Signup and view all the answers

    According to the text, how does the death of a sibling affect surviving siblings?

    <p>All of the above.</p> Signup and view all the answers

    What is the main emphasis of hospice care?

    <p>Comfort over curative measures</p> Signup and view all the answers

    True or false: Euthanasia (or assisted suicide) is currently legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    What is the main focus of palliative care?

    <p>To provide comfort and relieve suffering</p> Signup and view all the answers

    True or false: Hospice care can only be provided in the comfort of the individual's home.

    <p>False</p> Signup and view all the answers

    According to the text, what is one reason why the loss of a parent during the adult years may be difficult?

    <p>Financial burden</p> Signup and view all the answers

    What is one significant kind of loss mentioned in the text?

    <p>Loss of a spouse</p> Signup and view all the answers

    True or false: The dying process is viewed as a natural process in palliative care.

    <p>True</p> Signup and view all the answers

    True or false: Euthanasia (or assisted suicide) is currently legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    True or false: Palliative care is intended to prolong the individual's life.

    <p>False</p> Signup and view all the answers

    True or false: Right to die proponents believe that persons have the right to refuse medical treatment even if it may result in death.

    <p>True</p> Signup and view all the answers

    True or false: Hospice care focuses on curative measures.

    <p>False</p> Signup and view all the answers

    True or false: Assisted suicide is legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    True or false: The dying process is viewed as a natural process in hospice care.

    <p>True</p> Signup and view all the answers

    True or false: Palliative care may shorten the individual's life but it is not the intention of this care method.

    <p>True</p> Signup and view all the answers

    True or false: Hospice care can be provided in a hospice designated unit.

    <p>True</p> Signup and view all the answers

    True or false: The purpose of an advance directive is to specify an individual's medical treatment preferences in the event they are unable to communicate.

    <p>True</p> Signup and view all the answers

    True or false: Cheyne-Stokes respirations are a sign that an individual is near death.

    <p>True</p> Signup and view all the answers

    According to Elisabeth Kübler-Ross's stages of death and dying, what is the first stage?

    <p>Denial</p> Signup and view all the answers

    What is anticipatory grief?

    <p>A reaction to an expected loss</p> Signup and view all the answers

    What are some emotional responses to grief and loss?

    <p>Numbness, sadness, crying</p> Signup and view all the answers

    What is the purpose of mourning?

    <p>To facilitate adjustment to the loss</p> Signup and view all the answers

    According to Bowlby's stages of separation, what is the initial reaction by the child to separation called?

    <p>Protest</p> Signup and view all the answers

    What is the second stage of Bowlby's theory of mourning called?

    <p>Despair</p> Signup and view all the answers

    According to the text, what type of loss is the death of a spouse considered?

    <p>Physical loss</p> Signup and view all the answers

    True or false: Studies have shown that there is a greater risk of death for the remaining husband or wife in the first two years after the loss of a spouse.

    <p>True</p> Signup and view all the answers

    According to Kübler-Ross's stages of death and dying, which stage is characterized by a person trying to make deals or promises to change the outcome of their impending death?

    <p>Bargaining</p> Signup and view all the answers

    What is the purpose of an advance directive, as mentioned in the text?

    <p>To specify an individual's medical treatment preferences in the event they are unable to communicate</p> Signup and view all the answers

    What is one significant kind of loss mentioned in the text?

    <p>Loss of a sibling</p> Signup and view all the answers

    True or false: Euthanasia (or assisted suicide) is currently legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    According to the text, which age group expresses fear about going to the doctor and getting shots or having pain?

    <p>Preschoolers</p> Signup and view all the answers

    True or false: Assisted suicide is legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    What is the term for the legal document that allows an individual to specify their medical treatment preferences in the event they are unable to communicate?

    <p>Advance directive</p> Signup and view all the answers

    True or false: The dying process is viewed as a natural process in hospice care.

    <p>True</p> Signup and view all the answers

    According to the text, what is one sign that an individual is near death?

    <p>Restlessness and agitation</p> Signup and view all the answers

    According to the text, what is the purpose of an advance directive?

    <p>To state an individual's wishes for medical treatment</p> Signup and view all the answers

    According to the text, what is the main emphasis of hospice care?

    <p>Pain management</p> Signup and view all the answers

    According to the text, what is one reason why the loss of a parent during the adult years may be difficult?

    <p>Loss of a role model</p> Signup and view all the answers

    According to the text, what is the main concern of toddlers in relation to death?

    <p>Separation anxiety</p> Signup and view all the answers

    According to the text, what is one common reaction of parents when a child dies?

    <p>Need to blame someone or something</p> Signup and view all the answers

    According to the text, what is one common reaction of parents when the death of a child is the result of an accident?

    <p>Need to blame someone or something</p> Signup and view all the answers

    According to the text, what is one common reaction of parents when the death of a child is the result of an illness?

    <p>Feeling of despair</p> Signup and view all the answers

    True or false: Euthanasia (or assisted suicide) is currently legal in all states of the United States.

    <p>False</p> Signup and view all the answers

    True or false: Palliative care is intended to prolong the individual's life.

    <p>False</p> Signup and view all the answers

    What is the main emphasis of hospice care?

    <p>Comfort</p> Signup and view all the answers

    True or false: Right to die proponents believe that persons have the right to refuse medical treatment even if it may result in death.

    <p>True</p> Signup and view all the answers

    True or false: Hospice care can only be provided in the comfort of the individual's home.

    <p>False</p> Signup and view all the answers

    According to Bowlby's stages of separation, what is the final stage called?

    <p>Acceptance</p> Signup and view all the answers

    Study Notes

    Death and Dying: Understanding Loss and Grief

    • Death is an inevitable fate that all living creatures face.
    • Loss challenges a person's priorities and relationships, and may lead to the need for change and adaptation.
    • Coping with loss depends on an individual's self-identity and previous experiences with loss.
    • Death can occur at any age, and sudden unexpected death creates unique issues.
    • Grief is a normal response to loss, and anticipatory grief can occur when a loved one is expected to die.
    • Grief responses can be adaptive or maladaptive, with maladaptive responses resulting in unresolved conflicts.
    • Professional help is available to support individuals during the grieving process.
    • Mourning is a natural process that facilitates adjustment to loss and can last for months to years.
    • Elisabeth Kübler-Ross identified five stages of death and dying: denial, anger, bargaining, depression, and acceptance.
    • John Bowlby studied reactions to attachment and loss, and identified stages of protest, despair, and detachment.
    • Losses can be physical or symbolic, and all losses create a grief response.
    • The loss of a spouse is considered a significant loss, with a risk of death for the surviving spouse in the first two years after the loss.

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