Part I: Multiple Choice

1. Socially sanctioned death includes all of the following except

a. the Holocaust
b. war
c. 9/11
d. genocide
e. homicide

2. The five-stage model developed by Kubler-Ross

a. emphasizes psychosocial responses to illness
b. describes tasks to be undertaken while dying
c. stresses physical needs of dying persons
d. has been confirmed by subsequent research
e. none of the above

3. For an adult, the death of a parent or grandparent

a. initiates the person's place in the "sandwich generation"
b. inaugurates the "empty nest" syndrome
c. removes a generational "buffer"
d. all of these
e. none of these

4. Older adults are more likely to die from __________, while younger adults are more likely to die from accidents.

a. chronic diseases
b. acute diseases
c. communicative diseases
d. car crashes

5. The subconcept of death related to the recognition that death involves the complete and final cessation of all life-defining capabilities attributed to a living physical body is:

a. causality
b. universality
c. noncorporeal continuation
d. nonfunctionality
e. irreversibility

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

a. in nursing homes or long-term health care facilities
b. in hospitals or medical centers
c. in retirement centers
d. in day-care facilities

7. When an end of life nurse discusses specific diseases and describes mortality statistics, this exemplifies which dimension of death-related education?

a. behavioral
b. cognitive
c. valuational
d. effective

8. Three elementsessential in all bereavement are:

a. anticipation, depersonalization, and love
b. loneliness, shame, and melancholia
c. a valued relationship, loss, and a survivor
d. depression, loss, and cacthexis
e. grief, guilt, and decthexis

9. When children learn about death by finding, touching and burying a dead bird in the woods, their experience illustrates the potential of:

a. informal education
b. teachable moment
c. near death understanding
d. vocational motivation

10. The elements of a "death system" include

a. preventing death
b. caring for the death
c. objects and symbols
d. disposing of the dead
e. sanctioning certain kinds of killing

11. Nursing homes differ from hospitals in that they

a. lack facilities for acute care
b. have resources for chronic care
c. have resources for home care
d. lack facilities for rehabilitative care
e. lack resources for chronic care

12. The person who started the modern hospice movement is:

a. Elizabeth Kubler-Ross
b. Cicely Saunders
c. Glen Davidson
d. Phillipe Aries
e. Robert Kastenbaum

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

a. direct personal experience
b. newspapers, radio, and television
c. providing care for dying persons
d. all of these

14. Grief which occurs as a result of a loss that is not or cannot be openly acknowledged, publicly mourned, or socially supported is called

a. anticipatory grief
b. pathological grief
c. complicated grief
d. disenfranchised grief
e. none of these

15. A 1981 presidential commission proposed a definition of death later codified in the Uniform Determination of Death Act (UDDA). This definition requires or includes:

a. an invariant procedure for the determination of death
b. reversible loss of circulatory and respiratory functions
c. irreversible cessation of all functions of the entire brain, including the brain stem
d. irreversible stoppage of the capacity for bodily integration and social interaction
e. a metaphysical change in the very substance of the being

Part II Short Essay Questions

It is UMUC 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.

Answer the following questions in well-developed paragraphs.

A. Provide a detailed definition of grief, bereavement and mourning; explain how they are similar, unrelated, or different. Give examples of each, including your thoughts.

B. Sketch: Based on Corr or Worden's task based theories that are also assigned in your topic discussions this week, please review.

Widow: Your husband of 18 years died of cancer two years ago. You were close to him, but now, at age 41, you are thinking of finding a new partner. This idea causes you conflict. You feel disloyal to your dead husband and you are afraid your friends will think you are crazy. Your children, who are in their late teens, are very much against the idea of your remarrying. You have sought counseling to help you resolve this conflict.

Counselor: You are to assess where the widow is in the mourning process, help her to deal with her conflicts about beginning a new relationship, and help her to understand when grief is finished.