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2890 - Unit 5 - CH 15 - 19

Total questions: 134

Worksheet time: 1hrs 7mins

Name
Class
Date
1.

Ava visits her doctor because she has not had her menstrual cycles for over 12 months. The doctor explains that this is a natural stage in life called ________, which refers to the cessation of menstrual cycles.

a)

Menopause

b)

Puberty

c)

Menarche

d)

Adrenarche

2.

Fifty-year-old Anthony has begun to experience difficulty achieving and maintaining an erection. These changes may indicate that Anthony is experiencing which process?

a)

Menopause

b)

The climacteric

c)

Osteoporosis

d)

Heart disease

3.

Lily visits her doctor because she has noticed that her menstrual cycle has stopped and she is experiencing symptoms such as hot flashes. Her doctor explains that during a certain phase of menopause, both types of estrogen decrease, progesterone levels decrease, and ovulation ceases. During which phase is Lily likely experiencing these changes?

a)

Postmenopausal phase

b)

Perimenopausal phase

c)

Premenopausal phase

d)

Postovulatory phase

4.

Sue Ellen, a 68-year-old woman, recently visited her doctor after experiencing frequent bone fractures from minor falls. Her physician tells her she has developed:

a)

osteoporosis.

b)

presbyopia.

c)

hypothyroidism.

d)

rickets.

5.

Marcella has always had perfect vision, but shortly after her 40th birthday, she noticed it was becoming increasingly difficult to read her romance novels at night—as if her arms were not long enough to hold the book far enough away to focus. If Marcella visits her ophthalmologist, she will likely be diagnosed with which condition?

a)

Glaucoma

b)

Stereopsis

c)

Presbyopia

d)

Presbycusis

6.

James, a 68-year-old man, has noticed that he can no longer hear high-pitched sounds, such as birds chirping, or very low sounds, such as distant thunder. His doctor explains that this is due to degeneration of the auditory nerves and inner ear structures. Which condition is James most likely experiencing?

a)

Tinnitus

b)

Auricularis

c)

Presbycusis

d)

Auditory neuropathy

7.

Nora is studying for her biology exam and comes across a chapter discussing diseases that affect the heart and circulatory system. She wants to know what these diseases are collectively called. What is the correct term?

a)

Cardiovascular disease

b)

Lymphoma

c)

Pulmonary sclerosis

d)

Diverticulitis

8.

Michael visits his doctor and learns that deposits of plaque in his arteries are causing them to narrow and may eventually block them. What is the term used for this condition?

a)

Atherosclerosis

b)

Arteriosclerosis

c)

Thrombosis

d)

Embolism

9.

Benjamin is known for his competitive drive at work, always feeling a sense of urgency about time, and sometimes displaying aggressiveness or hostility when things do not go as planned. Which personality type best describes Benjamin?

a)

Borderline personality

b)

Type B personality

c)

Type A personality

d)

Melancholy personality

10.

Emma is learning about health risks in her biology class. She wants to know which condition increases the risk of both heart disease and cancer. Which should she be most concerned about?

a)

High blood pressure

b)

High cholesterol

c)

Moderate alcohol use

d)

Smoking

11.

Michael is studying public health trends in the United States. He wants to know which event is the second leading cause of death among adults over the age of 45. What should he find?

a)

Heart disease

b)

Cancer

c)

Diabetes-related complications

d)

Obesity

12.

Charlotte is studying public health trends in the United States. She wants to know which substance is most frequently abused. Which is the most frequently abused substance in the United States?

a)

Nicotine

b)

Alcohol

c)

Tobacco

d)

Cocaine

13.

During a health seminar, Isla presents data comparing males and females. Which statement is correct regarding the relationship between gender and health based on her findings?

a)

In general, males complain about their health more than females do.

b)

Females tend to live longer, but they also have more diseases and disabilities compared to males.

c)

Males die younger and tend to have more diseases and disabilities than females.

d)

Males are more likely than females to describe their health as “poor.”

14.

At a community health fair, four people are discussing their chances of developing arthritis. Based on statistics, which person is most likely to be diagnosed with arthritis?

a)

Harry, a man in his mid-50s

b)

Dolly, a woman in her late 20s

c)

Art, a man in his early 30s

d)

Norma, a woman in her early 80s

15.

Aria has been living with diabetes for several years. During a recent check-up, her doctor discussed a common complication that can arise from diabetes. Which outcome is her doctor most likely referring to?

a)

Brain tumors

b)

HIV

c)

High blood pressure

d)

Blindness

16.

As people grow older, they often need to adjust their activities and strategies to maintain their quality of life despite physical or cognitive changes. What term did Margaret Baltes and Paul Baltes use to describe the process of balancing the gains and losses associated with aging?

a)

Senescence

b)

Selective remembering with mnemonic compensation

c)

Selective optimization with compensation

d)

Judicial optimization of resources

17.

Lily is in her mid-40s and wants to keep her mind sharp as she gets older. She decides to start jogging regularly. How might this physical exercise help her maintain her cognitive abilities in middle age?

a)

Because the brain is a muscle; use it or lose it.

b)

By decreasing low-density lipoproteins ('bad' cholesterol).

c)

By maintaining cardiovascular fitness.

d)

By increasing optimism and life satisfaction.

18.

Penelope told her mother everything she did and everything that happened at her school dance last night. Penelope was relying on which type of memory?

a)

Episodic memory

b)

Semantic memory

c)

Procedural memory

d)

Working memory

19.

Jackson is praised for his creativity. Which definition best describes what Jackson is demonstrating?

a)

The ability to produce original, appropriate, and valuable ideas or solutions to problems.

b)

The ability to draw, sing, dance, or paint.

c)

The ability to compensate for one’s shortcomings.

d)

The ability to build and produce new forms of learning.

20.

Alan has collected many scraps and pieces of material in his garage over the years. One day, while looking at an oddly shaped wastepaper basket, he thought it would make a really cool planter. He drilled holes in the bottom, installed screws for risers, and planted a lovely bunch of peonies. What kind of thinking was Alan demonstrating when repurposing these materials?

a)

Symbolic

b)

Postformal

c)

Dialectic

d)

Divergent

21.

Michael has started volunteering at a local youth center because he wants to help young people succeed and make a positive impact on their futures. Which term did Erik Erikson use to describe the desire to establish and guide the next generation?

a)

Propagation

b)

Reproduction

c)

Generativity

d)

Intimacy

22.

Mason is at a point in his life where he is moving beyond forming intimate relationships and is starting to focus on his career and professional achievements. According to George Vaillant, what is the name of the developmental stage between intimacy and generativity?

a)

Career generativity

b)

Job satisfaction

c)

Midlife transition

d)

Career consolidation

23.

Oliver is in the stage of career consolidation and is actively building a social network at work. According to George Vaillant’s ideas, which outcome is most likely associated with this effort?

a)

Consternation

b)

Competence

c)

Contemplation

d)

Complacency

24.

Mrs. Jiménez has recently been promoted to an administrative position at the local nursing home, which means she must be at work by 7:00 a.m. Mrs. Jiménez also believes that she should provide her children with breakfast and supervision before they get on the school bus at 7:30 each morning. What is Mrs. Jiménez experiencing?

a)

Role conflict

b)

Role strain

c)

Stasis

d)

Social life stress

25.

Scarlett has been assigned to lead a complex project at work, but she has not received any training or preparation for it. Which outcome is she most likely to experience?

a)

Role strain

b)

Stagnation

c)

Role conflict

d)

Role disparity

26.

David and his partner often find themselves smiling and laughing together, genuinely happy in each other's company. Which fancy term refers to “sharing positive emotional states” between intimate partners?

a)

The happiness quotient

b)

Positivity resonance

c)

Contagious glee

d)

Desirable projection

27.

Which situation best exemplifies the “revolving door” of living arrangements?

a)

Jane, who is 21, lives at home with her parents while she attends college.

b)

Richard, a father of three, returns home to live with his parents after his wife dies so his parents can help raise his children.

c)

Joey, who is 35, has never married, and returns home after losing a job, which happens to him about every 8 months.

d)

Malesia, whose culture encourages extended family to live together, even after marriage.

28.

The Nuuk family lives in a duplex: Grandma Nuuk lives in one half, and Mr. and Mrs. Nuuk and their children live in the other half. Every day, when the children get off the school bus, Grandma meets them and prepares their afternoon snack. She helps them with their homework until their parents get home from work. What kind of relationship does Grandma Nuuk have with her grandchildren?

a)

Companionate

b)

Parental

c)

Remote

d)

Involved

29.

Aria's grandparents live in another country and only see her once every few years. What is this type of relationship called?

a)

revolving door relationship.

b)

familial relationship.

c)

generational betrayal.

d)

remote relationship.

30.

Ava and Lily have been best friends since college. Now, in midlife, they are still best friends. Which statement best describes their friendship in midlife?

a)

The level of intimacy increases as the frequency of interaction declines.

b)

The frequency of interaction decreases, but the level of intimacy remains stable.

c)

The number of friendships stays the same, but the level of intimacy declines.

d)

Both the frequency and level of intimacy decline over time.

31.

Scarlett is a highly trained professional who has recently started feeling dissatisfied, disillusioned, frustrated, and weary at her job. What is this experience called?

a)

midlife crisis.

b)

burnout.

c)

critical mass.

d)

extinction.

32.

Harper works in a busy office and has recently started focusing only on the most important parts of her job, delegating less critical tasks to her colleagues. What term did Margaret Baltes and Paul Baltes give to this idea?

a)

Management

b)

Selection

c)

Oversight

d)

Compensation

33.

Anika works in a fast-changing industry and wants to ensure she remains effective in her job. She deliberately takes additional training and periodically "brushes up" on her skills to keep her crucial abilities sharp. What term did Margaret Baltes and Paul Baltes give to this idea?

a)

Optimization

b)

Selection

c)

Oversight

d)

Compensation

34.

Grace is applying for a job at a tech company, but the hiring manager assumes she will struggle to learn new computer skills because she is middle-aged. This perception is an example of which principle?

a)

Reality

b)

Compensation

c)

Selective optimization

d)

Ageism

35.

Noah recently lost his job due to company downsizing and is now seeking a new career. According to the classification system of voluntary and involuntary career changers, Noah is considered an involuntary career changer. For what type of reason is Noah in transition?

a)

Ambiguous

b)

External

c)

Internal

d)

Normative

36.

Lorenzo used to work as a telephone operator. Recently, the phone company he worked for adopted an automated system. Lorenzo was laid off, making him:

a)

an employment liability.

b)

an involuntary career changer.

c)

a volunteer career shifter.

d)

a career transitioner.

37.

Phyllis has worked as an interior decorator for 20 years. Lately, she finds little satisfaction in her work and wants to do something she believes is more meaningful, such as counseling troubled youth. If Phyllis leaves her interior design business, she would be:

a)

an employment liability.

b)

an involuntary career changer.

c)

a volunteer career shifter.

d)

a career transitioner.

38.

Alvin retired from his 35-year career as a university professor but found that he enjoyed working semi-full-time as a textbook contributor for major academic publishers. As such, he was somewhat retired but also somewhat not retired at the same time. Which term best characterizes Alvin’s current employment position?

a)

Retire-ette

b)

Involuntary transition

c)

Post-life review

d)

Bridge job

39.

Emma is researching how Baby Boomers typically spend their retirement years. Which approach is Emma unlikely to find characteristic of their non-work pursuits?

a)

Spending most of their time sitting around with minimal activity

b)

Finding new ways to make money in their spare time

c)

Doing volunteer work and contributing to charities

d)

Spending time traveling and taking classes

40.

Daniel is researching generational trends for his sociology project. He needs to know the years that define the Baby Boom generation. The Baby Boom generation was born between __________ and __________.

a)

1927; 1945

b)

1935; 1955

c)

1946; 1964

d)

1960; 1980

41.

Emma is conducting a demographic study and needs to categorize individuals aged 75 to 85 years. According to the terminology used by demographers, which category includes this age range?

a)

Old old

b)

Young old

c)

Geriatric

d)

Oldest old

42.

Henry is an older adult living with a chronic disease. What is a major factor in determining Henry's overall well-being?

a)

Optimism

b)

Marital status

c)

Social networks

d)

Retirement income

43.

Ninety-year-old Mrs. Gonzalez is no longer able to manage tasks such as bathing or using the toilet by herself, but her checkbook is balanced to the penny. A gerontologist would most likely determine that Mrs. Gonzalez needs help with which functions?

a)

Only her activities of daily living

b)

Only her instrumental activities of daily living

c)

Both her activities of daily living and her instrumental activities of daily living

d)

Neither her activities of daily living nor her instrumental activities of daily living

44.

Michael is an older individual who has been diagnosed with certain health conditions. Based on research, older individuals with which of the following conditions are two to three times more likely to experience functional disability than those who do not?

a)

Arthritis and hypertension

b)

Cancer

c)

Impairments in vision

d)

No spouse or children

45.

Oliver has noticed that he reacts more slowly to everyday tasks and activities as he gets older. What is the most likely cause of his slower reaction time?

a)

The initial effects of Alzheimer’s disease

b)

Geriatric dysthymia

c)

The pruning of unused neural connections

d)

Dendritic loss and the slowing of synaptic speed

46.

Mr. McGillicuddy has great difficulty seeing because the lenses inside his eyes have become cloudy. What is the name of this condition?

a)

Glaucoma

b)

Cataracts

c)

Presbyopia

d)

Presbycusis

47.

Grace is visiting her eye doctor for a routine checkup. The doctor explains that she should be aware of macular degeneration, as it is most likely to occur during which stage of life?

a)

childhood.

b)

adolescence.

c)

early adulthood.

d)

late adulthood.

48.

Noah is reading about human biology and wonders: Approximately how long is the maximum human lifespan?

a)

105-110 years

b)

120-125 years

c)

125-130 years

d)

110-120 years

49.

Charlotte is studying cell division in her biology class. She learns that human embryonic cells can only divide a certain number of times before they stop. What is the Hayflick limit for these cells?

a)

10

b)

20

c)

40

d)

50

50.

Evelyn is studying the reasons behind aging in different species. She comes across a theory that suggests aging is a result of species-specific genes. Which theory is Evelyn reading about?

a)

Programmed senescence theory

b)

Telomeric theory

c)

The Hayflick limit

d)

Race-specific DNA theory

51.

Mia is a nurse at a senior care center. She notices that many older adults tend to nap more during the day. Based on her observations, which statement is true regarding sleep patterns in older adults?

a)

Older adults typically sleep very soundly for longer periods through the night than they did when they were younger.

b)

Older adults commonly have longer periods of REM sleep, or dreaming sleep.

c)

Older adults nap more during the day to accumulate the sleep they need.

d)

Older adults tend to become “night people” by going to bed later at night and getting up later in the morning.

52.

Mr. Watanabe often overeats and complains that he feels hungry all the time. His doctor has suggested that this problem is due to a malfunction in the sensation associated with blood sugar levels, known as:

a)

deprivation.

b)

satiety.

c)

insulin.

d)

diabetes.

53.

Grace has been playing the piano for many years. As she gets older, which statement about her motor skills is correct?

a)

Older adults’ sense of balance appears to improve with age.

b)

Fine motor skills within older adults’ area of expertise decline little and may even improve with age.

c)

Loss of fine motor skills dramatically increases in old age.

d)

Older persons have an easier time learning a new activity that requires fine motor skills.

54.

Which condition is a likely cause of dementia?

a)

Anxiety

b)

Obesity

c)

Multiple blows to the head

d)

Schizophrenia

55.

Samuel is conducting research on Alzheimer’s disease and is interested in understanding its prevalence among people of African descent. Which statement accurately reflects what Samuel might discover about the incidence of Alzheimer’s disease in this population?

a)

The disease is more prevalent in Africa than among African Americans in the United States.

b)

The disease is less prevalent in Africa, but in the United States, African Americans exhibit higher rates than White Americans.

c)

The disease is more common among White people in Africa than Black people in Africa.

d)

Black Americans whose African ancestors showed no signs of dementia are more likely to show dementia in current generations.

56.

Seth is a social worker assessing risk factors for depression among older adults in his community. Which statement is true regarding these risk factors?

a)

The strongest predictor of depression among older persons is marital status.

b)

Among older adults, depressed males outnumber depressed females two to one.

c)

Older adults living in poverty are at higher risk for depression than others.

d)

Well-educated older adults are more likely to be depressed compared to less-educated peers.

57.

Olivia is a geriatric counselor working with older adults. She wants to identify which contributing factor is the strongest predictor of depression among her clients. Based on research, which factor should Olivia pay the most attention to?

a)

Loss of a spouse

b)

Other forms of mental illness

c)

Poor health

d)

Loss of income

58.

Grace is conducting a study on age-related memory changes. She wants to know: At what age do the largest impairments in memory typically appear?

a)

65

b)

70

c)

75

d)

85

59.

Emma has noticed that her grandmother sometimes forgets things more often as she gets older. Emma wonders what explanation is currently the most widely accepted for declines in memory among older adults?

a)

Lack of motivation to use memory strategies

b)

Drug interactions that interfere with the physiological basis of memory formation and retrieval

c)

Loss of speed in central nervous system processes related to information processing and memory function

d)

Low-level dementia that interferes with memory but not with other aspects of functioning

60.

Aiden is faced with a challenging problem. He uses what he has learned in multiple classes and through his varied life experiences to find a solution. Which cognitive characteristic is Aiden demonstrating?

a)

Intelligence

b)

Wisdom

c)

Horse sense

d)

Creativity

61.

Nora is attending a workshop on healthy aging, where the topic of reminiscence is discussed. Which statement is correct regarding the role of reminiscence in human development?

a)

The most important function of reminiscence is preparation for death.

b)

Young adults reminisce less often than middle-aged or older adults.

c)

Reminiscence confers a variety of mental and physical health benefits.

d)

Structured reminiscence decreases life satisfaction.

62.

Olivia is an elderly woman who has gradually begun to withdraw from her social circles, participate less in community activities, and spend more time alone. Which developmental theory focuses on this kind of gradual withdrawal from the world on physical, social, and psychological levels?

a)

Disengagement theory

b)

Activity theory

c)

Continuity theory

d)

Compensational theory

63.

Phyllis’s philosophy drives her children crazy when they go out in public together. She says, “I’m old and I can do what I want.” Phyllis’s lack of adherence to conventional rules or expectations is consistent with which aspect of disengagement theory?

a)

Asocial thinking

b)

Discontinuity

c)

Increased individuality

d)

Disassociation

64.

Lily, an older adult, has recently started volunteering at her local community center. Which outcome might she experience as a result of her volunteer work?

a)

Decreased likelihood of hypertension

b)

Increased extraversion and decreased introversion in personality

c)

Improved sexual satisfaction

d)

Decreased health

65.

Jackson has recently gone through a difficult period in his life. During this time, he finds himself turning to religious beliefs and institutions for support. Which concept describes this tendency?

a)

Religiosity

b)

Religious coping

c)

Tribulatory spirituality

d)

Superstitious religiosity

66.

Evelyn is in late adulthood and continues to live in her own home, which has been modified to suit her needs as she ages, rather than moving to an institution. What term is used for this arrangement?

a)

Aging in place

b)

Modified aging

c)

Homebound aging

d)

Home health maintenance

67.

James notices that his aging parents need more help with daily activities. Which concept is central to filial piety in this situation?

a)

Children have a duty to care for their aging parents.

b)

A primary responsibility of religious organizations is to care for people during late adulthood.

c)

Living arrangements that involve an extended family network should be discouraged.

d)

Older adults should have acquired sufficient resources over time to live by themselves.

68.

Mr. Malocchio is a healthy 75-year-old widower who lives independently on his comfortable pension. Which factor is most likely to cause a change in his independent living status?

a)

A decline in health or physical ability

b)

Increased social interactions

c)

Financial stability

d)

Access to community services

69.

Joel is entering late adulthood and is considering what his living situation might be like in the coming years. Which statement represents a typical expectation for a man like Joel during late adulthood?

a)

He will live an average of 5 to 10 years as a widower.

b)

He will live alone until he experiences health problems that cause him to enter institutional care.

c)

He will live with a spouse or intimate partner until he dies.

d)

He will live alone until he has difficulty performing activities of daily living, at which time he will live with family members.

70.

David is an older adult who has never married and lives alone. What is true about single older adults like David?

a)

They have higher mortality rates compared to those who are married.

b)

They have higher rates of satisfaction compared to those who are married.

c)

They have lower rates of depression and suicide compared to those who are married.

d)

They are less likely to be disconnected from their families than those who are married.

71.

Michael is studying family relationships among older adults. He finds that most older adults _________ their adult children.

a)

are indifferent to the needs of

b)

are in regular contact with

c)

visit once a year with

d)

have little to do with

72.

Nora is researching the social networks of older adults from different ethnic backgrounds. She wants to know which conclusion is true regarding ethnicities and the social networks of older adults. What should Nora consider?

a)

Compared to White Americans, older Black Americans tend to have less warm relationships with their siblings and lower rates of co-residence with their children.

b)

Fictive kin may be an important source of emotional support for older adults of all ethnic groups.

c)

Older White Americans have more extensive social networks than any other racial or ethnic group in the United States.

d)

In Black American groups, friends rarely acquire the status of a close sibling or other relatives.

73.

At a company meeting, management is discussing how they view older employees compared to younger ones. How are older employees typically evaluated by management in the workplace?

a)

As being harder to train than younger employees

b)

As being more reliable than younger employees

c)

As being less cognitively skilled than younger employees

d)

As being more reliable, but less valuable than younger employees

74.

Imagine a group of friends discussing their retirement plans. Compared to the others, which person is statistically most likely to retire earliest?

a)

Josef, who has young children living at home

b)

Annalise, who will rely solely on Social Security for support during retirement

c)

Otto, who is in good health

d)

Valentina, who is in poor health

75.

Imagine a group of friends discussing their retirement plans. Compared to the others, which person is statistically most likely to retire latest?

a)

Ivar, whose work is challenging and interesting

b)

Claudia, who has experienced poor health for some time

c)

Anastasia, whose retirement will be supported by an adequate pension and Social Security benefits

d)

Tomas, a working-class laborer who considers Social Security benefits adequate for retirement

76.

Mason is considering whether to retire soon. Which attribute is unlikely to be a factor influencing Mason’s decision to retire?

a)

Personality traits

b)

Financial incentives to retire

c)

Financial resources during retirement

d)

Health

77.

Hannah, a 62-year-old professional, is seeking a new job after her previous company downsized. Despite her experience, she is finding it difficult to get hired. Which factor is the greatest obstacle to employment for older adults like Hannah?

a)

Employers’ perceptions about older workers’ ability to learn new job skills

b)

Employers’ desire to hire older workers for minimum wage

c)

Older workers’ inability to work a complete 8-hour shift

d)

Older workers’ inflexibility with younger co-workers

78.

Scarlett is conducting research on poverty among older adults. She wants to know, based on statistics, which group is most likely to live in poverty as older adults? Which group should she focus on?

a)

Asian males

b)

Hispanic females

c)

Black females

d)

Native American males

79.

Sophia is researching why poverty rates among older adults in the United States have declined. Which factor has contributed to this trend?

a)

Cost-of-living increases in Social Security

b)

Fewer older adults living in assisted living environments

c)

Less savings and fewer retirement benefits available

d)

Fewer older people graduating from high school and college

80.

Olivia, Mason, and Aria are all approaching retirement. Research indicates that people who respond most poorly to retirement are those who

a)

made an amenity move within a year of retiring.

b)

retired from satisfying jobs.

c)

retired while a spouse continued working.

d)

had the least control over the process.

81.

After Kyla passes away in the hospital, her family and the medical staff begin to treat her as a corpse, following the usual procedures for the deceased. Which form of death does this situation represent?

a)

Clinical death

b)

Brain death

c)

Social death

d)

Biological death

82.

Kenna is found unconscious after a drowning incident. There is no evidence of brain function, her heart has stopped, and she is not breathing. However, emergency responders believe that rescue is still possible. Which form of death has occurred in this situation?

a)

Brain death

b)

Clinical death

c)

Cardiovascular death

d)

Biological death

83.

After a severe accident, Jamie is brought to the hospital. The doctors perform several tests and find that there is no electrical activity in Jamie's brain, and Jamie no longer has reflexes or responds to vigorous external stimuli. Which form of death has occurred in Jamie's case?

a)

Brain death

b)

Cerebral death

c)

Cortical death

d)

Neural death

84.

When Mason stopped breathing, his eyes remained open. The nurse closed his eyes and pulled the bed sheet over his head. These actions marked which outcome?

a)

Social death

b)

Clinical death

c)

Brain death

d)

Psychological death

85.

Madison is brought to the hospital after a severe accident. The doctors perform several tests and find that her brain stem is dead and there are no independent body functions. Under which circumstances can it be determined that Madison is legally dead?

a)

When there is no electrical activity in the brain and the person no longer has reflexes or responds to vigorous external stimuli.

b)

When resuscitation is possible, even though there is no evidence of brain function or respiration, and the heart has stopped.

c)

When the brain stem is dead and there are no independent body functions.

d)

When a physician pronounces the person to be dead.

86.

Dayana's grandmother has been diagnosed with a terminal illness. Dayana and her family want to ensure that her grandmother's final days are comfortable and that they have control over the process of dying. Which term describes an approach to caring for the terminally ill that focuses on individual and family control over the dying process?

a)

DNR facilitation

b)

Hospice care

c)

Skilled nursing

d)

Home health care

87.

Serenity has an incurable disease and knows her time on the planet is limited. She dislikes hospitals and the sterile environment of any institution. She wants to die at home with her family around her, making whatever decisions must be made. Which form of care would be a good alternative for Serenity to consider?

a)

An assisted living facility

b)

Decedent care

c)

Hospice care

d)

Nursing home care

88.

Maylin and Aurora are studying the history of healthcare innovations. They come across hospice care and want to know where it first originated. In which country did hospice care originate?

a)

The United States

b)

Germany

c)

The Netherlands

d)

England

89.

Julia and Skylor are studying public health statistics in the United States. They want to know approximately what percentage of deaths occur in the decedent’s home. What is the correct percentage?

a)

33%

b)

15%

c)

82%

d)

61%

90.

Judith and Grace are studying end-of-life care in the United States. They want to know where most adults die. What is the most common place?

a)

At home

b)

In a hospice

c)

In a hospital

d)

In a nursing home

91.

Jazmine's grandmother has been diagnosed with a terminal illness, and her family is considering hospice care. What is the main purpose of hospice care for someone like Jazmine's grandmother?

a)

To extend every possible moment of life at any cost.

b)

To provide treatments to prolong life, even if the treatments may be painful or extraordinarily invasive.

c)

To provide a warm, supportive environment for the dying person and help make life as full as possible.

d)

To add to the burden of family members as they care for their dying relatives.

92.

Gage’s grandmother has a terminal illness, and the doctors are focusing on relieving her pain rather than trying to cure the disease. What type of care is Gage’s grandmother receiving?

a)

Merciful

b)

Palliative

c)

Decedent

d)

Homeopathic

93.

Delaney is caring for her father at home and receives regular support from specially trained health care workers who assist her with his medical needs. What type of hospice program is Delaney participating in?

a)

Residence-based

b)

Filial-oriented

c)

Hospital-based

d)

Assisted-living facility-based

94.

Serenity is looking for a place where a small number of patients are cared for by specially trained healthcare workers in a home-like environment. In which setting would she most likely find this?

a)

Hospital-based programs

b)

Hospice centers

c)

Home-based programs

d)

Assisted-living programs

95.

Mia's family chose a residence-based hospice program for her end-of-life care. Which attitude is commonly reported by loved ones in this situation?

a)

They reported relief at having their loved one at home.

b)

They reported feeling a reduced sense of burden.

c)

They responded no differently than those whose loved one died in a hospital-based hospice program.

d)

They reported greater satisfaction with the quality of care.

96.

Kenley's cat died, but Kenley says, “My cat died, but if I get her some medicine, she will feel better tomorrow.” What is the most likely age of a child who would say this?

a)

4 years

b)

7 years

c)

9 years

d)

11 years

97.

Kaylin, who is younger than 5 years old, sees her goldfish floating in the bowl and asks if it will start swimming again soon. Which conclusion accurately describes what Kaylin would understand or believe about death?

a)

That death is reversible

b)

That death is tragic

c)

That death is universal

d)

That death is permanent

98.

Kenna, age 4, is a preschool student whose hamster has just died. Which common reaction to her hamster’s death might Kenna demonstrate?

a)

Kenna may say her hamster is “sleeping.”

b)

Kenna may say that her hamster was evil.

c)

Kenna may wish to destroy the body of the hamster to avoid remembering.

d)

Kenna may want to bury the hamster because she realizes that it will never come back to life.

99.

Jayden is walking in his backyard and finds a dead bird. Which circumstance would hasten a child’s understanding of death?

a)

Believing that death is just a temporary experience

b)

Reading a story in which a character dies and then comes back to life

c)

Finding a dead animal

d)

Talking about death in the absence of any direct experience

100.

Grace, a high school student, has been struggling with her thoughts and emotions. Which factor might contribute to her experiencing suicidal behavior?

a)

The understanding that death is inevitable

b)

Unrealistic ideas about personal death

c)

The death of a close relative

d)

An understanding of the universality of death

101.

Raymundo was a student at Miltown High School who, sadly, died by suicide. The administrators at Miltown High are now worried that “copycat suicides” might occur. What term do professionals use for this kind of threat?

a)

Death regression

b)

Swarming

c)

The Omega Concern

d)

Social contagion

102.

Anastasia, a young adult, is asked to estimate her own chances of dying. Which outcome is typical in this situation?

a)

She tends to overestimate her own chances of dying, especially if she has had a prior personal experience with death.

b)

She tends to underestimate her own chances of dying while simultaneously assuming that everyone she knows will also die young.

c)

She is usually accurate within 1 or 2 years.

d)

She is more likely to overestimate her chances of dying compared to adults in their 80s.

103.

Fredrick is a 26-year-old professional basketball player. One of his teammates died suddenly during a recent playoff game. Which outcome exemplifies how Fredrick is likely to react to the unexpected death of his teammate?

a)

Fredrick is likely to take it in stride and spend little time thinking about or grieving over the loss of his teammate.

b)

Fredrick is likely to look for reasons to explain why his teammate died, so as to feel less threatened or vulnerable.

c)

Because Fredrick’s relationship with his teammate was not familial, he is likely to feel less threatened by it than if it were a family member who had died.

d)

Because Fredrick is a young adult, his sense of unique invulnerability will protect him from being overly concerned about the death of his teammate.

104.

Olivia recently lost a close family member. As she reflects on the experience, which aspect is most likely to be the most pervasive meaning of death for most adults?

a)

Transition

b)

Loss

c)

Punishment

d)

Renewal

105.

Kenna and Madison are reflecting on their lives as they enter middle adulthood. How does their way of thinking about time typically change during this stage?

a)

Time seems to reverse itself compared to young adulthood.

b)

Time seems to move more slowly than it did in young adulthood.

c)

People begin thinking in terms of years rather than decades.

d)

People start thinking in terms of time until death rather than time since birth.

106.

Mark and Jazmine are working on a research project about cultural attitudes toward death. They learn that, when faced with impending death, some groups are more likely to want to spend time with loved ones. Based on their findings, which group would most likely want to spend time with loved ones, generally speaking?

a)

White Americans

b)

Mexican Americans

c)

Black Americans

d)

Japanese Americans

107.

Lexis, a young adult, is told she has only a few months left to live. Which response would be likely if she were asked how she would want to spend the final months of her life?

a)

I would attempt to tie up loose ends, such as making plans for my burial.

b)

I would finish important projects and leave my affairs in order for my family.

c)

I would meditate and pray.

d)

I would spend time traveling and having adventures with my family and friends.

108.

Imagine a group of friends—Alessandra, Allie, Aurora, and their grandparents—are told they have only a short time left to live. Which group would most likely seek new experiences in this situation?

a)

Oldest-old adults

b)

Young-old adults

c)

Middle-aged adults

d)

Young adults

109.

Darlene, who is over 60 years old, is asked how she would spend the final months of her life. Which response would be likely?

a)

I would tie up loose ends in my business affairs and talk to my lawyer about my will.

b)

I would travel and spend time with my friends and family.

c)

I would meditate and try to find peace and acceptance within myself.

d)

I would do all the wild and crazy things that I have always wanted to do.

110.

Four people are sharing their feelings about death at a community center. Based on general patterns of research outcomes investigating people’s anticipation of death, which person would report being least afraid of dying?

a)

17-year-old Ella

b)

45-year-old Jason

c)

60-year-old Aurora

d)

75-year-old Raymundo

111.

Four friends are discussing their feelings about death during a group therapy session. Based on general patterns of research outcomes investigating people’s anticipation of death, which person would report being most afraid of dying?

a)

45-year-old Cailee

b)

55-year-old Israel

c)

65-year-old Serenity

d)

75-year-old Kyla

112.

Daizy, an older adult, often thinks about the end of life. Regarding death, which outcome is Daizy most likely to fear?

a)

The uncertainty before death, such as where she will die and who will care for her

b)

That important issues will be unresolved, or projects will not be completed

c)

Loss of her roles and relationships

d)

Pain or discomfort often associated with death

113.

Kenna is discussing her feelings about aging and death with her friends. Which statement accurately reflects a common fear among older adults regarding death?

a)

Old age is the time when death is most feared.

b)

Older adults fear the period of uncertainty before death, such as whether they will be able to cope with the loss of control and independence.

c)

Adults who are deeply religious and adults who are totally irreligious may fear death more than those who are ambivalent about a religious or philosophical tradition.

d)

Adults who believe their lives have had purpose or meaning appear to be more fearful of death.

114.

Maylin is in the early stages of inoperable cancer. She has prepared a signed and witnessed written document directing her family not to allow any artificial or heroic measures to be taken if she is unable to make her wishes known at the appropriate time. What is this document called?

a)

Power of attorney

b)

Executive trust

c)

Living trust

d)

Advance directive

115.

Cali is concerned about what might happen if she becomes unable to make her own medical decisions in the future. Which document specifies who can make decisions for Cali if she becomes unable to do so?

a)

It gives written instructions for end-of-life care.

b)

It arranges funeral plans in advance.

c)

It specifies who can make decisions for an individual if the person becomes unable to do so.

d)

It allows the dying person’s family to purchase health care for the individual.

116.

Caitlyn is studying the beliefs of the Kaliai people in New Guinea for her anthropology class. She learns that they have a particular view about the cause of death. Which common belief about death is held by the Kaliai people?

a)

Deaths are caused by a person or spirit whom the dying person has offended in some way.

b)

Death is never to be discussed.

c)

It is very important to say farewell to friends and family.

d)

Death releases the soul from the entrapments of the physical body so that it can continue to grow.

117.

Steven has recently received news of a terminal illness. As he processes this information, he goes through various emotional stages. Which of the following is a stage in Elisabeth Kübler-Ross’s model of psychological preparation for death?

a)

Agreement

b)

Objection

c)

Bargaining

d)

Preparation

118.

Samara was told by her physician that her terminal diagnosis had progressed rapidly and that she only had 6 months to live. "That’s so unfair!" Samara shouted. She then began berating her physician and the other staff members in the office. Which stage of dealing with dying is Samara in?

a)

Preparation

b)

Anger

c)

Bargaining

d)

Acceptance

119.

Angela was told by her physician 6 months ago that she had about 18 months to live. “I’ve been working out a deal,” Angela told her physician. “Through daily prayer, I’ve negotiated with God for another year on top of your prognosis. It’s guaranteed.” Which stage of dealing with dying is Angela in?

a)

Bargaining

b)

Denial

c)

Depression

d)

Rejection

120.

Nicole was told by her physician that her health was beyond medical treatment and that her chances of dying within the next 12 months were 90%. “I’m sorry,” Nicole replied, “That’s not right. Please run the tests again while I get a third opinion. I’m not sure why you’re telling me this falsehood.” What stage of dealing with dying is Nicole in?

a)

Accommodation

b)

Acceptance

c)

Bargaining

d)

Denial

121.

Raymundo and Aurora are studying Elisabeth Kübler-Ross's five-stage process of dying for their psychology class. They want to know what the final stage of this process is. According to Elisabeth Kübler-Ross, what is the final stage of the five-stage process of dying?

a)

Denial

b)

Depression

c)

Acceptance

d)

Bargaining

122.

Steven has recently learned that he is terminally ill. He has begun to lash out at his family and the medical personnel involved in his care. Elisabeth Kübler-Ross would argue that this behavior can be explained by which circumstance?

a)

A wish to punish others and make them feel pain too

b)

A loss of control and a sense of helplessness

c)

Cognitive changes brought on by the stress of the situation

d)

Interactions between medications

123.

Serenity, age 85, has a long history of strokes that have debilitated her and left her bedridden. She recently had another stroke, and she knows her death is imminent. She has no emotional reaction to this realization and just wants to be left alone. According to Kübler-Ross, which of the five stages of death and dying is Serenity most likely experiencing?

a)

Denial

b)

Acceptance

c)

Depression

d)

Terminal

124.

Payge and Sandra are studying Elisabeth Kübler-Ross’s theory of dying for their psychology class. They read about some major criticisms of the theory. Which two major criticisms have been applied to Elisabeth Kübler-Ross’s theory of dying?

a)

Her claim that these processes are universal and gender-specific.

b)

Her methodology and her claim that people of all ages react the same way to dying.

c)

Her claim that religiosity is tied to the five stages and that persons of non-Christian religions will react differently.

d)

Her methodology and her claim that these processes are culturally universal.

125.

Kenley and Aurora are interested in learning about the scientific study of death and dying. Which field should they explore?

a)

The study of brain function during death

b)

The belief in life after death

c)

The religious view that death is a transitional state

d)

The scientific study of death and dying

126.

Mia is supporting her grandmother, who is in hospice care. She wants to help her with one of the tasks of dying proposed by Charles Corr. Which action best reflects this task?

a)

Minimizing autonomy

b)

Ignoring or avoiding sources of spiritual energy

c)

Minimizing bodily needs

d)

Sustaining and enhancing significant personal attachments

127.

What is a psychoeducational support group?

a)

A school-based organization that answers questions children and adolescents have regarding death and dying

b)

The core component of hospice care, as practiced specifically in the Netherlands

c)

A team of professional thanatologists who can discuss options related to right-to-die policies in the United States

d)

A small group of medical patients who meet with hospital staff to learn about and discuss various aspects of their treatment plans

128.

Which concept did Sigmund Freud believe was most useful for coping with death and grief?

a)

Defense mechanisms

b)

Regression

c)

The unconscious

d)

Fixation

129.

Which two defense mechanisms have been useful in helping children cope with dying?

a)

Denial and regression

b)

Displacement and repression

c)

Sublimation and identification

d)

Regression and reaction formation

130.

Which concept is included in the stages of grief proposed by John Bowlby?

a)

Sublimation

b)

Denial

c)

Numbness

d)

Fatalism

131.

Nicole has breast cancer. She has maintained a positive attitude and has been researching to learn more about her type of cancer. She readily tells her doctors that she is going to fight with everything she has to beat her cancer. Steven Greer’s initial research indicates that Nicole is demonstrating:

a)

fighting spirit.

b)

helplessness/hopelessness.

c)

stoic acceptance (fatalism).

d)

a realistic attitude.

132.

Angela has been diagnosed with a terminal illness. According to theorist Charles Corr, people in her situation face a set of psychological tasks, including:

a)

Pushing herself physically as her body fights to live.

b)

Financially preparing for the security of loved ones.

c)

Ending relationships with others.

d)

Fostering hope through spiritual searching.

133.

When Fredrick was told he had lung cancer, he resigned himself to the idea that he would die. He didn’t seem to be in denial; he simply made no attempt to seek a cure, believing that his diagnosis "is what it is." Steven Greer's research indicates that Fredrick's attitude reflects:

a)

stoic acceptance.

b)

helplessness/hopelessness.

c)

depression.

d)

fighting spirit.

134.

Imagine a hospital where Briley, Tatum, and Israel are patients with terminal illnesses. According to Steven Greer's research, which group of patients had the longest survival rate?

a)

Those whose attitude was stoic acceptance

b)

Those whose attitude was denial or a fighting spirit

c)

Those whose attitude was quiet resignation

d)

Those whose attitude was anger