1. Women, as reported in "The Facts of Death," are more likely than men are to die:

a. of sudden illnesses.

b. of illnesses related to old age.

c. in accidents.

d. free from illness.

2. The leading cause of death in the United States today, as reported in "The Facts of Death," is:

a. kidney failure.

b. accidents.

c. infectious disease.

d. heart disease.

3. As presented in "The Facts of Death," the most common place for a person in the United States to die is:

a. at home.

b. in a hospital.

c. at the scene of an accident.

d. in a nursing home.

4. According to "The Facts of Death," one reason Hispanics in the United States often recover quickly from illnesses, is that they:

a. are more likely to have received immunizations that will

limit the severity of illness.

b. often have strong social-support networks.

c. are more likely than other groups to be physically fit.

d. tend to be more trusting of doctors than other groups.

5. Future reductions in U.S. mortality rates, as maintained in "The Facts of Death," will most rapidly result from a decrease in deaths from:

a. childhood diseases.

b. accidents and violent crime.

c. cancer.

d. heart disease.

6. One result of the increasing life expectancy in the United States, as stated in "The Facts of Death," is that fewer people will be dying in ways that consume significant health-care services. T F

7. Higher education levels, as described in "The Facts of Death," are generally associated with greater life expectancy because of the lifestyle choices educated people make. T F

8. According to "Dealing with Death: A Culture in Denial," people in the United States often deny the reality of death because they:

a. fear death and dying.

b. want to avoid the painful feelings of grief that surround

death.

c. often do not believe they will mourn the death of others.

d. believe dying is always painful.

9. In the past, as described in "Dealing with Death: A Culture in Denial," Western people:

a. often welcomed death.

b. avoided death and people who were dying.

c. confronted death.

d. created elaborate rituals for people who were dying.

10. One reason people today are uncomfortable around death, as suggested in "Dealing with Death: A Culture in Denial," is that they:

a. believe people are somehow at fault for dying.

b. are not familiar with the dying process.

c. believe medical technology can cure almost any illness.

d. have witnessed the deaths of several people close to them by

the time they are adults.

11. According to "Dealing with Death: A Culture in Denial," some doctors believe a "good death" is one in which a person dies:

a. peacefully at home from old age.

b. instantly in an accident or sudden illness such as a heart

attack or stroke.

c. surrounded by family members in a hospital or nursing home.

d. after all medical efforts were made to increase the

individual's life.

12. In U.S. society today, as maintained in "Dealing with Death: A Culture in Denial," growing older is often considered an embarassment. T F

13. Most people, as noted in "Dealing with Death: A Culture in Denial," do not begin to form opinions about death until they reach adulthood. T F

14. One of the most significant changes in funeral customs in Appalachia over the century, as reported in "A Look at How Kentuckians in Knox County Once Treated the Dead," is that people today:

a. no longer rely on their neighbors for support after a death.

b. rely on the funeral industry to prepare and dispose of the

deceased.

c. avoid contact with death as much as possible.

d. have funerals that are far more religious than in the past.

15. As described in "A Look at How Kentuckians in Knox County Once Treated the Dead," in the past, people in rural Kentucky were most often notified of a death in the community by:

a. ringing church bells.

b. articles about the deceased in the local paper.

c. messengers.

d. the undertakers.

16. According to "A Look at How Kentuckians in Knox County Once Treated the Dead," one possible explanation for the custom of holding a wake for the recently deceased was to:

a. determine how the person died.

b. allow family members to recover from the first shock of the

death.

c. ensure that the person was truly dead.

d. give community members a chance to visit with the deceased

privately one last time.

17. One result of the involvement of people in Knox County with death, as suggested in "A Look at How Kentuckians in Knox County Once Treated the Dead," was that they were:

a. determined to have some control over their own deaths.

b. afraid of death.

c. accepting of death.

d. ready to welcome death at any time.

18. Until the first decades of the twentieth century, as presented in "A Look at How Kentuckians in Knox County Once Treated the Dead," friends and family had to perform the tasks associated with disposing of the body of the deceased. (T)

19. Most funeral services in the past in Appalachia were not attended by religious preachers, as described in "A Look at How Kentuckians in Knox County Once Treated the Dead." T F

20. According to "Death Be Not Painful," most terminally ill patients are primarily concerned about:

a. living as long as possible.

b. having a chance to say good-bye to friends and family.

c. not being a burden on their doctors and family.

d. dying with dignity.

21. Johns Hopkins Hospital, as reported in "Death Be Not Painful," is now emerging as a leader in providing terminally ill patients with:

a. hope that they may make a full recovery.

b. comfort and pain management.

c. support groups of patients with similar diseases.

d. opportunities to talk openly to their families about their

deaths.

22. Continuing to perform life-saving techniques on terminally ill patients, as maintained in "Death Be Not Painful," often sends the patient and his or her family the message that the:

a. doctor truly cares for the patient.

b. patient is disappointing the doctor by dying.

c. patient is not likely to die soon.

d. best choice for the patient is to live as long as possible.

23. Doctors may have difficulty in communicating with terminally ill patients, as explained in "Death Be Not Painful," because they:

a. are afraid of death themselves.

b. were not adequately prepared in medical school for these

conversations.

c. fear that these conversations will only depress patients or

make them feel that the doctor is not concerned about their

survival.

d. believe it should be the responsibility of the family to

determine the patient's wishes.

24. At the beginning of the century, as stated in "Death Be Not Painful," people died in less pain at the Johns Hopkins Hospital than they do today, most likely because people died after brief illnesses. T F

25. Most doctors, as noted in "Death Be Not Painful," are highly skilled at accurately assessing the pain experienced by their patients. T F

26. The funeral industry, as described in "At Your Disposal," is preparing for a notable increase in business in the coming years as:

a. violent crime increases in the United States.

b. fewer people are opting for cremation.

c. the baby-boomer generation ages.

d. rates of infectious diseases increase.

27. According to "At Your Disposal," most families choose funeral homes based on their:

a. cost effectiveness.

b. friendliness and sympathy.

c. reputation in the community.

d. proximity.

28. Exorbitant sums of money, as reported in "At Your Disposal," are most likely to be spent on funerals by:

a. recent immigrants.

b. poorer families.

c. families with numerous close members.

d. people who have arranged their own funerals ahead of time.

29. Funeral-home chains, as described in "At Your Disposal," have contributed to the increase in funeral costs because their primary focus is on:

a. serving the needs of the community in which they are located.

b. advertising and attracting new business.

c. providing profits for investors and shareholders.

d. lobbying the government for less-restrictive legislation for

the industry.

30. For many families in the United States, as maintained in "At Your Disposal," a family member's funeral is one of the most expensive purchases they will ever make. T F

31. Funeral costs, as outlined in "At Your Disposal," are generally all grouped together, which often results in inflated costs from the funeral home. T F

32. As maintained in "The Death Poetry of Emily Dickinson," the use of death images in the poetry of Emily Dickinson is most likely the:

a. result of a mind obsessed with death and terrified of it.

b. reason for Dickinson's current popularity.

c. attempt of the author to better illuminate life.

d. effect of numerous family deaths that Dickinson felt

profoundly.

33. According to "The Death Poetry of Emily Dickinson," in some of her poetry, Dickinson may be implying that in death, a person is safe from the:

a. fear of death.

b. pain of losing others to death.

c. illnesses that often precede death.

d. daily troubles of life.

34. People who elect to have themselves frozen after death using cryonics, as described in "Putting Death on Ice," are motivated by the hope that:

a. scientists will be able to use their body to research

disease.

b. they can later be thawed and resuscitated.

c. identical copies of themselves can be made by cloning.

d. other family members will have access to their organs if they

require transplants.

35. Prior to Robert Ettinger's book on the subject, as explained in "Putting Death on Ice," cryonics and later revival was:

a. the subject of science fiction.

b. only for the wealthy.

c. an imperfect science.

d. only a theoretical possibility.

36. One argument in favor of possible revival after freezing, as reported in "Putting Death on Ice," is the fact that:

a. scientists can now successfully clone mammals.

b. researchers are now learning to repair damaged cells.

c. many of the diseases of old age are now curable.

d. doctors revive thousands of people each year after they are

clinically dead.

37. According to "Putting Death on Ice," one of the greatest barriers to the practice of cryonics is the:

a. establishment in several states of laws that consider the

practice mutilating the body.

b. religious prohibitions against the practice.

c. high cost of the procedure.

d. unwillingness of family members to release a body to the

cryonics laboratory.

38. The strongest objections to the practice of cryonics, as stated in "Putting Death on Ice," come from the medical community. T F

39. As reported in "Putting Death on Ice," along with people, there have also been some dogs and cats frozen for later revival. T F

40. The primary purpose of the definition of brain death today, as explained in "Is It Time to Abandon Brain Death?" is to provide:

a. comfort to relatives after all hope of revival is gone.

b. suitable organs for transplantation.

c. a means of freeing-up needed hospital beds.

d. a new definition of death in the era of highly sophisticated

medical techniques for prolonging life.

41. According to "Is It Time to Abandon Brain Death?" most of the concerns over the concept of brain death have focused on the:

a. unwillingness of family members to accept that a loved one

will not recover.

b. debate over whether or not the brain is truly the "person"

more than the body.

c. inconsistencies in the definition, tests, and criteria of the

theory.

d. destruction of potentially transplantable organs if the full

definition of brain death is fulfilled before organs are

taken.

42. As stated in "Is It Time to Abandon Brain Death?" many patients who fulfill the tests for the establishment of brain death still demonstrate functioning of some part of the brain. T F

43. According to "Is It Time to Abandon Brain Death?" many physicians and nurses, including those involved in removing organs for transplantation, are unable to identify correctly the legal and medical criteria for determining brain death. T F

44. As suggested in "Communication Among Children, Parents, and Funeral Directors," parents often avoid talking to their children about death because they:

a. do not want to admit their own uncertainties about death.

b. worry that the child will begin to fear the death of a

parent.

c. wish to protect their children.

d. fear losing the child to death.

45. A common response at the time of a death and one that is extremely damaging to families, as noted in "Communication Among Children, Parents, and Funeral Directors," is:

a. levity.

b. anger.

c. tears.

d. dependency.

46. Jean Piaget, according to "Communication Among Children, Parents, and Funeral Directors," argued that children between ages and years see death as:

a. abandonment.

b. sad.

c. reversible.

d. forever.

47. Death, as suggested in "Communication Among Children, Parents, and Funeral Directors," is a form of abandonment. T F

48. Over the last decade, as maintained in "Communication Among Children, Parents, and Funeral Directors," more and more children have been attending funerals. T F

49. Fairy tales, as described in "Children, Death, and Fairy Tales," were originally told to children in order to:

a. frighten them into good behavior.

b. teach moral lessons.

c. entertain them.

d. reassure them that they were loved and would be protected

from harm.

50. From its inception, according to "Children, Death, and Fairy Tales," literature for children has been motivated by a belief that children need written material to:

a. entertain them.

b. provide them comfort.

c. prepare them for life.

d. salvage their souls.

51. Children's cartoons, as noted in "Children, Death, and Fairy Tales," have fostered the conclusion that death is somehow:

a. painless.

b. desirable.

c. commonplace.

d. reversible.

52. Stories that are intended to provide explanations for the occurrence of natural phenomenon, as identified in "Children, Death, and Fairy Tales," are:

a. myths.

b. bedtime stories.

c. folk tales.

d. fairy tales.

53. As stated in "Children, Death, and Fairy Tales," as regards the values and behaviors recorded in them, fairy tales can be described as:

a. modern.

b. traditional.

c. popular.

d. cultural.

54. Children, as suggested in "Children, Death, and Fairy Tales,"

are capable of having an understanding of dying and death as

natural processes. T F

55. As claimed in "Children, Death, and Fairy Tales," it is common

today for children to attend funeral services. T F

56. One result of the failure to discuss end-of-life care with loved

ones, as suggested in "Failing to Discuss Dying Adds to Pain of

Patient and Family," is that the relatives of a dying patient

are:

a. unaware of how sick the person actually is.

b. afraid to admit to themselves that the person is dying.

c. forced to make important decisions about treatment for the

patient.

d. expected to rely solely on the doctors' advice about

treatment options.

57. Many people, according to "Failing to Discuss Dying Adds to Pain

of Patient and Family," die after undergoing lengthy and

frequently painful treatments because:

a. they never told anyone what they did not want.

b. doctors require patients to surrender themselves completely.

c. sick people are very vulnerable.

d. they are afraid to go against their family's desires.

58. Isaacs, as stated in "Failing to Discuss Dying Adds to Pain of

Patient and Family," was robbed of his ability to speak for

himself by:

a. strokes.

b. an overbearing wife.

c. senility.

d. painkilling drugs.

59. When Martin Isaacs was young and healthy, as noted in "Failing

to Discuss Dying Adds to Pain of Patient and Family," he worked

in New York City as a:

a. poet.

b. social worker.

c. bus driver.

d. teacher of classical literature.

60. The ethics committee at Beth Israel Medical Center, as claimed

in "Failing to Discuss Dying Adds to Pain of Patient and

Family," has the power to force private doctors who practice

there to raise end-of-life issues with their patients. T F

61. Beth Israel Medical Center, as reported in "Failing to Discuss

Dying Adds to Pain of Patient and Family," allows families of

patients with no proxies or written directions great leeway in

showing proof of what a patient would have wanted. T F

62. According to "Older Americans in s and Beyond," issues that

pertain to older Americans are increasingly important because:

a. the size of the older population has been increasing

throughout the century.

b. most people fear becoming old.

c. many of the diseases that affect older people are incurable

and costly.

d. the older population in the United States is increasingly

vocal.

63. The older population's share of total population, according to

"Older Americans in s and Beyond," almost doubled between

and because:

a. high fertility assured that each new generation was larger

than the one that preceded it.

b. declining mortality and the aging of increasingly larger

generations account for the numbers of elderly.

c. the number of older persons grew faster than the overall

population.

d. U.S. birth rates moved upward throughout the century.

64. The most "remarkable" population growth in the U.S. population,

as noted in "Older Americans in s and Beyond," is projected

for all of the following people except:

a. Asians.

b. Native Americans.

c. Pacific Islanders.

d. Hispanics.

65. The only European birthplace reported by significant numbers of

older immigrants in , as identified in "Older Americans in

s and Beyond," was:

a. England.

b. Germany.

c. France.

d. the Soviet Union.

66. The most frequent cause of death for older Americans, as cited

in "Older Americans in s and Beyond," is:

a. heart disease.

b. diabetes.

c. cancer.

d. strokes.

67. Most adults, as claimed in "Older Americans in s and

Beyond," remain in their own homes or communities after

retirement. T F

68. As reported in "Older Americans in s and Beyond," poverty

continues to be endemic in the older population. T F

69. Suicide-prevention courses in schools, as presented in "Schools

Struggle to Teach Lessons in Life and Death," were developed in

response to:

a. demand from parents.

b. concerns about depression expressed by students.

c. rising suicide rates among teenagers.

d. an overall movement to teach children a better understanding

of death.

70. According to "Schools Struggle to Teach Lessons in Life and

Death," the debate over whether to teach suicide-prevention

courses in schools centers on the issue of whether these courses

help students or:

a. introduce the idea of suicide as an option to the students.

b. frighten them into concealing their feelings from adults.

c. make them more likely to tease troubled students.

d. terrify them about death in any form.

71. Critics of suicide-prevention courses, as reported in "Schools

Struggle to Teach Lessons in Life and Death," believe that a

better response to teenage suicide would be to:

a. teach children that suicide is a sin.

b. identify troubled students and refer them to individual

counselors.

c. provide learning materials to parents and allow them to

address the issue as they wish.

d. provide group counseling for all teenage students.

72. Members of minority groups, as cited in "Schools Struggle to

Teach Lessons in Life and Death," are less likely to commit

suicide because they:

a. have stronger cultural taboos against it.

b. have closer ties to their families.

c. are often relied on by other family members for support.

d. are more likely to direct their anger outward towards

society.

73. As stated in "Schools Struggle to Teach Lessons in Life and

Death," a federal court has ruled that school districts can be

held liable if inadequate prevention measures contributed to the

suicide death of a child. T F

74. Advocates of suicide-prevention courses, as explained in

"Schools Struggle to Teach Lessons in Life and Death," often

note the falling teen suicide rate in California after these

courses were implemented in comparison to the rising rates in

other parts of the country. T F

75. As presented in "Planning to Die," people in the United States

must work to change their attitudes towards death and to

confront the reality of mortality:

a. on an individual level.

b. as a society.

c. through an examination of faith and religious belief.

d. from a scientific and medical perspective.

76. As discussed in "Planning to Die," Americans' anxiety about

death centers on:

a. fear of dependence.

b. fear of pain.

c. fear of afterlife.

d. concern for surviving family members.

77. According to "Planning to Die," hospital organization has been

altered due to:

a. concern for the social needs of patients.

b. concern for the spiritual needs of patients.

c. new understanding of the need to treat patients holistically.

d. market incentives that favor large hospitals selling

progressive medicine.

78. As noted in "Planning to Die," the principal means of suicide in

people over age include all of the following except:

a. starvation.

b. drowning.

c. refusal of medication.

d. use of guns.

79. According to "Planning to Die," the American public is outraged

by the idea of physician-assisted suicide. T F

80. As noted in "Planning to Die," since , the allowable length

of hospital stay for Medicare patients has been sharply

decreased. T F

81. According to "Attitudes to Death and Bereavement among Cultural

Minority Groups," cultural perspectives on death and bereavement

are of particular importance when confronting:

a. responses to accidents.

b. families of terminally ill patients.

c. suicidal tendencies.

d. issues related to body preparation and disposal.

82. Failure to allow people to exercise traditional and religious

responsibilities, according to "Attitudes to Death and

Bereavement among Cultural Minority Groups," can result in

feelings of:

a. hopelessness and despair.

b. despair and remorse.

c. remorse and guilt.

d. guilt and failure.

83. As noted in "Attitudes to Death and Bereavement among Cultural

Minority Groups," death is more common than in Western cultures

among all age groups, and especially young children and babies,

for the:

a. Shona of Zimbabwe.

b. Sikh from the Punjab.

c. Muslims in Bangladesh.

d. Asians in Oxford.

84. According to "Attitudes to Death and Bereavement among Cultural

Minority Groups," the center of Asian culture that has a very

strong influence on behavior and outlook is the:

a. child.

b. father.

c. extended family.

d. mother.

85. During times of great stress, as cited in "Attitudes to Death

and Bereavement Among Cultural Minority Groups," the majority of

people turn to religion despite their usual apathy toward it. T F

86. In the Asian community, according to "Attitudes to Death and

Bereavement Among Cultural Minority Groups," the whole family

feels bound to visit a very ill person, unlike in American

culture. T F

87. Spiritual concerns of dying patients, as presented in "The

Spiritual Needs of the Dying," often include:

a. seeking forgiveness from people that may have been wronged by

the dying patient.

b. confronting God and expressing anger.

c. offering comfort to those about to be bereaved by the

person's death.

d. finding a meaning for life.

88. As discussed in "The Spiritual Needs of the Dying," any response

to life-threatening illness can be intertwined with:

a. social dysfunction.

b. religious themes.

c. psychological dysfunction.

d. cultural interpretations.

89. According to "The Spiritual Needs of the Dying," clergy and

clinicians can facilitate spiritual wholeness by:

a. providing opportunities to explore spiritual concerns.

b. arranging opportunities for Bible study.

c. providing a hospital house of worship.

d. encouraging the dying to pray.

90. As described in "The Spiritual Needs of the Dying," "to die

appropriately" means to:

a. die in a way consistent with one's self-identity.

b. die in a way consistent with one's disease.

c. be given last rites prior to dying.

d. die with one's affairs in order.

91. As noted in "The Spiritual Needs of the Dying," a minority of

Americans both believe in God and consider religion and

spirituality important in their lives. T F

92. According to "The Spiritual Needs of the Dying," as individuals

struggle with dying, spiritual and religious themes are likely

to emerge. T F