Chapter 19 Flashcards

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1
Q

Death is a ____ as well as a _____

A

Process

State

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2
Q

The experience of death is shaped by the _________________ the end of life

A

Circumstances surrounding

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3
Q

Clinical death

A

Period during vial signals are absent but resuscitation is still possible

This is the near death experience

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4
Q

Brain dead

A

Absences of vital signals, resuscitation is no longer possible

Considered legally dead

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5
Q

Brain death most often occurs after a period of ____ to ____ minutes of clinical death

A

8-10

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6
Q

Social death

A

The point at which family members and medical personal treat the person as a corpse

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7
Q

In Canada, ____% of deaths occur in hospitals

A

67

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8
Q

Hospice care

A

Emphasizes individual and family control of the process of dying

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9
Q

Death with dignity is more likely if the dying person remains at _______ or in a _________. Which leaves them in contact with friends and family

A

Home

Home like setting

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10
Q

The hospice care philosophy

A

Death should be seen as normal, not to be avoided but to be accepted

The patient and family should be encouraged to prepare for death

Family should be involved in patients care

Medical care should be palliative rather than curative

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11
Q

Palliative care

A

Form of care that focusses on relieving pain rather than cure their diseases

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12
Q

Hospice palliative care helps dying patients and their families to:

A

Address physical, psychological, social, and spiritual issues as well as their associated expectations

Prepare for and manage life closure and dying process

Cope with loss and grief during illness and bereavement

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13
Q

As an adult, you understand that death is ________, ________, ___________

A

Irreversible
Comes to everyone
Cessation of all function

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14
Q

_________________ do not understand that death is irreversible, comes to everyone, and means a cessation of all function

A

Preschool age children

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15
Q

Young children believe death can be ______, through ______________

A

Reversed

Prayer, magic, or wishful thinking

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16
Q

Teaching young children the ______________ __________ helps them understand what causes death and whys its ______

A

Nature of biological life

Irreversible

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17
Q

By the age of ___, most children seem to understand the ________ and ________ of death

A

9

Permanence
Universality

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18
Q

_______ understand the ______ of death better than children do

A

Adolescents

Finality

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19
Q

______________ about personal death appear to contribute to adolescent suicide (death is a pleasurable experience)

A

Unrealistic beliefs

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20
Q

______ and _______ ideas about death are affected by personal experiences

A

Children

Adolescents

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21
Q

Unique invulnerability

A

The belief that bad things; including death, happen only to others

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22
Q

A sudden loss of a loved one is more traumatic for a _________ individual than an ____________

A

Younger

Older adult

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23
Q

Personal experiences changes perception of death. Such as, experience with death _______________. Loss of a loved one frequently leads to _______________

A

May make it less fearful

Leads to suicidal thoughts

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24
Q

The death of relatively _______________ challenge young people’s beliefs in ______________

A

Young public figures

Unique invulnerability

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25
Q

A death changes the _______ and ________ of everyone else in the family, as well as people beyond the family

A

Roles

Relationships

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26
Q

In middle age, many individuals switch the way they think about time from ____________ to ____________

A

Time since birth

Time until death

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27
Q

The most pervasive meaning of death for adults of all age is ______

A

Loss

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28
Q

Young adults are more concerned about loss of opportunity to __________ and about the loss of ___________

A

Experience things

Family relationships

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29
Q

The fears of death:

A

1) the finality of death
2) the uncertainty that follows
3) fear of non existiance
4) the ultimate loss
5) fear of pain or loneliness while dying
6) fear of failing to complete life work

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30
Q

For ____________, the sense of __________ prevents intense fears of death

A

Young adults

Unique invulnerability

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31
Q

__________ are more fearful of death

A

Middle aged adults

32
Q

In middle age, a belief in ones own ________ begins to break down, resulting in increasing anxiety about the end of life

A

Immortality

33
Q

By late life, the ____________ has been accepted, and anxieties are focused on how ___________________

A

Inevitability of death

Death will likely come about

34
Q

Older adults are more likely to fear the period of _______________ then they are to dear death itself

A

Uncertainty before death

35
Q

Both those who are _________ and those who are _______ report less fear of death

A

Deeply religious

Irreligious

36
Q

The most fearful may be those who are uncertain or uncommitted to any ______ or _________ traditions

A

Religious

Philosophical

37
Q

Religious beliefs may moderate fears of death:

  • death is seen as a ________________________________
  • the belief that ________________
A

Transition from one form of life to another

God exists increases with age

38
Q

Adults who have ___________ or believe they have ______________ has set out to be less fearful of death

A

Accomplished goals

Become the person they set out to be

39
Q

The belief that __________ reduces the fear of death

A

Life has no purpose

40
Q

Fear of death may be an aspect of despair described in Ericksons ________________ stage

A

Ego integrity vs despair stage

41
Q

Health care power of attorney

A

Specified who can make decisions for an individual in the event they can’t

42
Q

Teminal decline

A

An individuals decline in mental functioning accelerates a few years immediately preceding death

43
Q

Most adults agree that it is important to make _______________

A

Preparations for death

44
Q

Practical preparation may include:

A

Getting life insurance, making a will

45
Q

Adults may prepare for death through some process of _________

A

Reminiscence

46
Q

Those who are near to death become increasingly more ________, ______, _______ and non introspective

A

Conventional
Docile
Dependant

47
Q

A sudden drop in ___________________ seems to signal death is near

A

Crystallized intellectual ability

48
Q

Kubler-Ross stages of dying

A
Denial 
Anger
Bargaining 
Depression
Acceptance
49
Q

Thanatology

A

The scientific study of death or dying

50
Q

While Kubler-Ross’s stages are universal, criticisms found that not all dying patients _______________

A

Experience these 5 emotions

51
Q

Corr 4 tasks of a dying person

A

1) satisfying bodily needs and minimizing stress
2) maximizing psychological security, and richness of life
3) sustaining significant interpersonal attachments
4) identifying sources of spiritual energy

52
Q

Greers attitudes for breast cancer

A
Denial
Fighting spirit 
Stoic acceptance 
Helplessness
Anxious preoccupation
53
Q

Those whose initial reactions to cancer where ___________ we less likely to die of cancer

A

Fighting spirits

54
Q

There is no conclusive evidence that the mind can cure cancer or other diseases. All the same, research shows that mental states and attitudes are associated with healing

A

This is cool

55
Q

Grieving

A

Emotional response to death

56
Q

Funeral of various types are nearly _____ in all culture. Although across cultures they are ___________

A

Universal

Very different

57
Q

The death ritual is only the ____ step in the process of _____, which takes several months to years to college

A

First

Grieving

58
Q

Funerals help family members mange their grief by giving them a specific ___________________

A

Set of role to play

59
Q

Funerals bring the _______ together. The may help survivors understand the ____________.

A

Family

Meaning of death

60
Q

Children display an arrange of behaviours following a death. Such as:

A

Sad facial expressions
Crying
Loss of appetite

61
Q

Most children resolve their feeing of grief within the first _______ after the loss

A

Year

62
Q

Knowing a loved one is ill and is in danger of death, helps __________________

A

Children cope with the loss

63
Q

_____ May be more likely to experience prolonged grief than children or adults

A

Teens

64
Q

_______ who cares for spouses during the illness are ______ likely to become depressed after a death

A

Widows

Less

65
Q

A death, such as ____________, May provide closure and act as the death didn’t happen without purpose

A

Soldier in war or a police officer

66
Q

Sudden and violent deaths evoke a more ____________

A

Intense grief response

67
Q

If someone commits Suicide, survivors may experience feelings of ________________. They may feel that they could have done something to prevent suicide. They are _____ likely to discuss the loss.

A

Rejection and anger

Less

68
Q

Pathological grief

A

Persistent symptoms of depression brought on by the death of a loved one

69
Q

Immune system functions are _______ somewhat immediately after the death of a spouse. Most return to normal by a _____ after the death

A

Suppressed

Year

70
Q

In the years following bereavement, the incidence of _______ among _______ rises substantially. While rates of death and disease rise ________

A

Depression

Windows / widowers

Slightly

71
Q

Death of a spouse is more negative for _____ than ______

A

Men

Women

72
Q

Risk of death from natural causes or suicide is higher in ____ immediately after death of spouse

A

Men

73
Q

Grief symptoms for more than _________ following the loss of a loved one may indicate _______

A

2 months

Pathological grief

74
Q

Grief lasting longer than ______ can lead to long term ______

A

6 months

Depression

75
Q

Widespread that ______ should cause digress and disruption is wrong. Almost everyone experiences ________ but few people need psychological treatment

A

Grief

Bereavement

76
Q

Recognize that a ____________ is healthy and normal

A

Resilient grief trajectory

77
Q

The ______ apporach and support groups can be helpful for people who experience _______, but it’s can be harmful for ______ peolle

A

Talk it out

Pathological grief

Resilient