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Chapter 6
1. The way in which an individual copes with dying
     a.     depends on the doctors' attitudes.
     b.     often contrasts with usual coping patterns.
     c.     depends mostly on the length of the illness.
     d.     usually resembles lifelong coping patterns.

 2. Cancer is acknowledged to be the
     a.     number one cause of death in America.
     b.     most feared long-term life-threatening illness.
     c.     disease for passive-type people.
     d.     synonym for death and dying.

3. 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 strategy for coping.
     c.     rarely occurs among family members.
     d.     does not recur once openness is achieved.

4.  According to Avery Weisman's observations and analysis, effective coping with life threatening illness involves
     a.  physical, psychological, social, and spiritual dimensions.
     b.   denial, anger, bargaining, depression, and acceptance.
     c.   confronting the problem, keeping communication open, and maintaining a sense of hope.
     d.   acute, chronic, and terminal phases.

5.  Make Today Count is an example of a
     a.   support group for families who have experienced the death of a loved one.
     b.   support group for people with life-threatening illness.
     c.    philosophy dealing with accidental death.
     d.   psychiatric therapy for the elderly.

6. A biopsy is
     a.     a partial autopsy.
     b.     cancer testing on laboratory animals.
     c.     the removal of a small amount of tissue for diagnosis.
     d.     a twofold process for ending life.      

7. Metastasis is
     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 body parts.

8. Many people fear surgery as a treatment for cancer because of the
     a.     high fatality rates associated with cancer operations.
     b.     possibility of disfigurement or disability.
     c.     success rate of less than 10 percent.  
     d.     high costs involved with cancer surgery.

9.  Which of the following is viewed as the “fifth vital sign”?
     a.    pain
     b.    depression
     c.    fear
     d.    anger

10. Which of the following signs of “active dying” is NOT a common symptom during the last days or hours?
     a.     change in breathing patterns.      c.     decrease in appetite and thirst
     b.     decrease in sleeping                    d.     change in skin color

11. Which of the following is NOT one of the spiritual needs of the evolving social role of dying patients?
     a.     need for hope and creativity      c.     need to give and receive love
     b.     need to complete a will              d.     need for meaning and purpose


____     12.        People with life-threatening illness can sometimes experience a kind of “social death.”

____     13.        Bargaining is a response that may occur in facing a life-threatening illness.

____     14.        People at the end of life are generally more comfortable when they receive food and liquids.