Ch. 10 Chronic Illness, Terminal Illness & Death

Question 1

progressive illness

Answer 1

chronic illness that gets worse w/ time

• proliferation (increase) extent to which the immune cells multiply & produce more cells
• proliferation (increase) is mostly seen as a sign of a strong immune system

Question 2

remitting illness

Answer 2

an illness that eases w/ time & ends

Question 3

life expectancy

Answer 3

the age at which you would be expected to die given biopsychosocial factor existing in society at that time

Question 4

quality of life

Answer 4

a measure of physical states & functioning, psychological status, social functioning & the presence of the disease or treatment related symptoms

Question 5

appraisal

Answer 5

way of potentially stressful event is interpreted

- a significant component of Lazarus’ psychological explanation of why we get stressed

Question 6

optimism

Answer 6

personality trait where a person has a general tendency to expect that good things, rather than bad things will happen

Question 7

denial

Answer 7

one of the 1st psychological reactions felt the moment a person is informed that he or she has a chronic illness or realizes he or she is dying

Question 8

anxiety

Answer 8

unpleasant state of internal turmoil

Question 9

nuclear family

Answer 9

family consisting of a mother (female), a father (male) & unmarried children

Question 10

blended family

Answer 10

family consisting of 2 parents, either or both of whom may have been previously married, w/ their children

Question 11

extended family

Answer 11

family consisting of a blended or nuclear family plus grandparents or grandchildren, aunts, uncles & other relatives

Question 12

broken family

Answer 12

families consisting of divorced and/or single parents living w/ their kids

Question 13

risky family

Answer 13

families in which a lot of arguing occurs btwn family members & in which relationships are cold, unsupportive & neglected

Question 14

euthanasia (passive)

Answer 14

termination of life by withdrawing life-sustaining treatment

- more common

Question 15

physician-assisted suicide

Answer 15

euthanasia involving a physician who supplies the actual drug although not actually administering it him/herself

Question 16

euthanasia (active)

Answer 16

termination of life by purposeful means, often lethal injection

Question 17

palliative care

Answer 17

form of treatment aimed at alleviating symptoms without necessarily affecting the cause

Question 18

anger

Answer 18

stage of death in which person is upset that death is happening to them

Question 19

bargaining

Answer 19

stage of death in which person tries to restore their belief in a just world & may promise to be good or live life better in exchange for life

Question 20

anticipatory grief

Answer 20

process in which a dying person feels a lack of control & now grieves in expectation of his/her death

Question 21

acceptance

Answer 21

stage of death where person fully acknowledges that death cannot be avoided
- at this point, person often very weak & faces death w/ a peaceful calm

Question 22

hospice

Answer 22

nursing homes for the dying, where the dying are comforted & their pain & other symptoms are alleviated

Question 23

dementia

Answer 23

marked problems in thinking & remembering often experienced by older adults

Question 24

depression

Answer 24

a mood disorder that causes a persistent feeling of sadness & loss of interest

Question 25

Jack Kevorkian

Answer 25

medical pathologist who willfully helped dozens of terminally ill people end their lives

Question 26

terminal illness

Answer 26

chronic illness that are advancing or terminal - people w/ this illness often die after a relatively short time ranging from months to a few years (ie) cancer & AIDS

Question 27

The current life expectancy estimate for women born in 2006 is approximately ______ years. a. 65 b. 72 c. 78 d. 82

Answer 27

d. 82

Question 28

The most prevalent chronic disease is also the nation's primary cause of death, which is a. CHD b. cancer c. diabetes d. pneumonia

Answer 28

a. CHD

Question 29

From a health psychologist's perspective, one of the main treatment goals for those with a chronic illness is: a. increasing the QOL b. preventing the spread of the disease c. safeguarding other family members d. curing the disease

Answer 29

a. increasing the QOL

Question 30

From a biological standpoint, chronic illnesses are difficult to cope with because they: a. disrupt normal life functioning b. are often contagious c. always bring pain d. fluctuate unpredictably

Answer 30

a. disrupt normal life functioning

Question 31

One of the most effective psychological resources that people with chronic illness have is: a. self-esteem b. appraisals of situations c. levels of extroversion d. hardiness

Answer 31

b. appraisals of situations

Question 32

One of the first psychological reactions to discovering you have a chronic illness is a. denial b. depression c. anxiety d. optimism

Answer 32

a. denial

Question 33

One of the psychological reactions to a chronic illness that tends to be long term & increases as pain and disability increases is a. denial b. depression c. anxiety d. fear

Answer 33

b. depression

Question 34

Psychological interventions to help people cope with chronic illnesses are primarily designed to a. change health behaviors that influence disease progression b. change personality traits to make the person more optimistic c. physically rehabilitate the person to make them live life normally d. help caregivers care for the patients

Answer 34

a. change health behaviors that influence disease progression

Question 35

Social support is good to help people cope, but a. those who really do not need it benefit the most b. support is only helpful if people believe it will help c. getting more support if you already have enough can be harmful d. not providing enough support can hurt more than providing none at all

Answer 35

c. getting more support if you already have enough can be harmful

Question 36

_________ is termination of life by a lethal drug administered by a physician. a. euthanasia b. mercy killing c. self-suicide d. assisted suicided

Answer 36

a. euthanasia