Part I Multiple Choice

Part I Multiple Choice (40 points)

Instructions:  Number 1 through 20 in your Assignment Folder and place the best alternative (a,b,c,d,e) next to each number.

1. At the present time, most deaths in the United States occur:

a) in nursing homes or long-term health care facilitiesb) in hospitals or medical centerc) in retirement centersd) in day-care facilities

2. Assisted suicide:

a) involves only one person, the one who ends his or her lifeb) occurs when at least two persons are present when the suicide takes placec) requires the involvement of a physiciand) all of the abovee) none of the above

3. In Oregon:

a) Voters twice approved assisted suicideb) A single request for assisted suicide must be accepted by health care providersc) A person requesting assisted suicide need not demonstrate competenced) Assisted suicide is legale) Euthanasia is legal under carefully defined circumstances

4.  A memorial service is

a) an activity that helps dispose of the bodyb) a ceremony conducted at a cemeteryc) a ritual without the presence of the bodyd) all of these5. When an end of life nurse discusses specific diseases and describes mortality statistics, this exemplifies which dimension of death-related education?

a) behavioralb) cognitivec) valuationald) effective

6. The modern death awareness movement, emphasizing research and writing about death-related experiences began around:

a) the end of the 19th centuryb) the early 1800’sc) the third decade of the 20th centuryd) the late 1950’s through the early 1970’s

7. Three elements are essential in all bereavement:

a) Anticipation, depersonalization, and loveb) Loneliness, shame, and melancholiac) A valued relationship, loss, and a survivord) Depression, loss, and cacthexise) Grief, guilt, and decthexis

8. In relationships that are secret or unsuspected by others, when one person dies, the grieving survivor is likely to experience:

a) uncomplicated griefb) anticipatory grief c) disenfranchised griefd) Psychological grief

9. Indicators that might serve to warn of the danger of adolescent suicide include:

a) remarks by adolescents that things would be better if they were no longer aroundb) taking about suicide in a constructive educational formatc) efforts by adolescents to acquire cherished possessionsd) all of the abovee) none of the above

10. Moral dilemmas about ending a life in our society most often:

a) have to do with passive euthanasiab) relate to active euthanasiac) are confined to issues of assisted suicided) are fully resolvable in good hospice caree) arise from advances in technology and treatment

11. Most members of our contemporary society experience death and dying through:

a) direct personal experienceb) newspapers, radio, and televisionc) providing care for dying personsd) all of these

12. A person who enrolled in a course on death and dying because of distress about someone’s death a year earlier is expressing concern about:

a) vocational reasons or enrollmentb) current death-related experiencec) intellectual curiosity about the subject d) an unresolved death-related experiencee) all of these

13. Death-related experiences and issues are not openly discussed with or among children in contemporary America society because

a) the Amish showed us difficulties in dealing with deathb) children receive many messages that death is not an acceptable topic for discussionc) most adults fear death and death-related issuesd) society has very negative feelings about deathe) none of these

14. Anger, guilt, and anxiety are most closely associated with

a) bereavementb) lossc) griefd) mourninge) catharsis

15. “Living wills” that indicate an individual’s desires about medical treatment

a) are legal documents mandating no intubation and life-saving medicationsb) do not have legal force in the United Statesc) state the wishes of persons when their health status changes and they become incapacitatedd) acknowledge a desire to live and to receive all measures to prevent deathe) apply to individuals who are terminally ill

16. Which of the following is true in relation to organ donation and transplantation in the United States?

a) they are opposed by nearly all major religious communitiesb) “brain dead” individuals might return to lifec) donation is likely to have a substantive effect on desired general practicesd) costs of transplantation are paid by donor familiese) none of these

17. An arrangement through which one transfers property to a third party with instructions for its distribution after death while retaining control over the property during his or her life is called a

a) willb) giftc) trustd) joint tenancy with right of survivorshipe) codicil

18. Suicide literally means “killing of oneself.”  If that is all one uses to define suicide, which of the following would not be an act of suicide?

a) while playing “Russian roulette,” shooting oneself fatally in the headb) bungee jumping that results in one’s deathc) while high on drugs, walking off a cliff because one believes one can fly, and thus falling to one’s deathd) driving a race car which crashes and results in deathe) none of these

19. In cases of assisted suicide

a) a physician helps end a human lifeb) an individual ends his or her own lifec) care providers cause death by foregoing treatmentd) a second individual acts directly to bring about the death of another persone) death is brought about by a lethal injection

20. If a dying person’s intentions regarding one’s own death remain unknown and then someone else takes action to end the person’s life in order to end their suffering, and the person dies, this is an example of

a) voluntary euthanasiab) involuntary euthanasiac) nonvoluntary euthanasiad) assisted suicidee) homicide

Part II   Essay Questions (10 points)

It is UMGC policy that acceptable college level writing is to be considered in grading students’ written work.  Take care to express your thoughts in logical, well-organized form.

1. Imagine that you might want to donate your body after death.  Provide a thorough discussion of what is involved in accomplishing that goal.

(5 points)

2. Being in this class these past couple of months at this extraordinary time in our life’s history will be remembered and referred to in future years.

At this time, feel free to open-up, express your concerns, fears or any aspect of what the COVID-19 pandemic means to you, how it has been affecting your life, and if this class has had more significance to you than it would have one year ago.

3.Your reading discusses promoting wellness programs for older adults. What does the term “wellness” mean to you?

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