1. (p. 214) By acknowledging the inevitability of death we |
A. can prepare for it. |
2. (p. 214) In which of the following is the individual’s right to autonomy violated? A. An older woman who refuses to undergo back surgery |
B. An older man whose physician and family coerce him to have foot surgery |
3. (p. 214-215) Three principles of medical ethics are |
B. autonomy, beneficence, justice. |
4. (p. 215) What is a fundamental principle in medical care which involves doing good or conferring benefits that enhance personal or social well-being? A. Autoficence |
C. Beneficence |
5. (p. 215) What is a fundamental principle in medical care which is the injunction to "do no harm?" |
A. Nonmaleficence |
6. (p. 215) Informed consent is based on a patient’s competency to give consent, adequate understanding of proposed treatment, and |
B. consent must be given freely. |
7. (p. 216) What year did informed consent achieve formal legal definition? |
C. 1957 |
8. (p. 216) Informed consent ideally occurs within a context where the |
B. patient and health-care provider share in decision making. |
9. (p. 216) A study in 1961 found that, __________ doctors had a strong tendency to withhold information. |
B. most |
10. (p. 219) The SUPPORT STUDY was designed to |
D. assess communication between physician and patient at the end-of-life. |
11. (p. 219) Patients at the end-of-life may not want disruptive medical interventions. The preference can be recognized in a medical setting by designating the patient as |
C. comfort measures only. |
12. (p. 222) Ethical questions regarding the "right to die" first came to public attention in the landmark court case involving A. Nancy Beth Cruzan. B. Karen Ann Quinlan. C. Nancy Ellen Jobes. D. Elizabeth Bouvia. |
B. Karen Ann Quinlan. |
13. (p. 222) All of the following occurred with Karen Ann Quinlan EXCEPT A. Quinlan’s parents requested that she be removed from a mechanical respirator. B. the request of Karen’s parents was opposed by the hospital officials and resulted in a judicial suit. |
C. the Supreme Court of New Jersey ruled in favor of the hospital officials and Karen remained on the respirator. |
14. (p. 222) The controversy surrounding the Karen Ann Quinlan case centered on the |
D. right to forgo life-sustaining treatment. |
15. (p. 222) What position did the state of Missouri initially take in the Nancy Beth Cruzan case? |
A. It contended that Nancy’s parents did not have the right to remove artificial feeding. |
16. (p. 223) What is a state of profound unconsciousness lasting a few days or weeks? |
C. Coma |
17. (p. 223) What disorder of consciousness has been characterized as "awake but unaware" and also has been called "hopelessly conscious?" |
B. Vegetative state |
18. (p. 224) The case of Terry Schiavo was compounded by the fact that |
D. she had not completed her advance directive. |
19. (p. 227) Studies of the Oregon Death with Dignity Act show that the decision to request a prescription for lethal medication was associated mainly with patients’ concerns about loss of dignity, loss of ability to have an enjoyable life, and loss of |
D. autonomy. |
20. (p. 227) Currently, physician-assisted death is permitted by legislation enacted in |
C. Oregon and Washington. |
21. (p. 227) In May 2013, which state senate passed and the governor signed the Patient Choice and Control at End-of-Life Act? |
C. Vermont |
22. (p. 227) Which act allows physicians to prescribe lethal medication to terminally ill patients? |
B. Oregon Death with Dignity Act (ODDA) |
23. (p. 228) Who provided aid-in-dying to more than 100 people and led a crusade to legalize physician-assistant suicide? A. Thomas Youk |
B. Jack Kevorkian |
24. (p. 229) In the medical management of pain, what rule states that a harmful effect of treatment, even if it results in death, is permissible if the harm is not intended and occurs as a side effect of a beneficial action? |
B. Rule of double effect |
25. (p. 229) Euthanasia comes from the Greek |
B. easy death. |
26. (p. 230) Which industrialized countries are identified in the text as permitting euthanasia to patients who request death? 1. United States and Japan A. 1 and 2 |
B. 2 and 3 |
27. (p. 230) Which of the following statements presents a case against euthanasia using the "wedge" or "slippery slope" argument? |
A. "Euthanasia may or may not be moral, but by permitting it we may unwittingly pave the way for acts that are clearly immoral." |
28. (p. 234) Which of the following is a statement by a competent person about choices for medical treatment, should he or she become unable to make such decisions or communicate them in the future? |
B. Advance directive |
29. (p. 234) An advanced directive is best defined as |
A. any statement made by a competent person about choices for medical treatment, should he or she become unable to make or communicate such choices. |
30. (p. 234) The living will is a |
C. type of advance directive |
31. (p. 234) A living will allows an individual to |
B. refuse life-sustaining treatment in the event he or she is terminally ill. |
32. (p. 234) Which state became the first to adopt a Natural Death Act giving legal recognition to the living will? |
A. California |
33. (p. 234) Which state was the first to give legal recognition to the living will? A. California |
A. California |
34. (p. 237) Which organization created the Five Wishes document? |
A. Aging with Dignity |
35. (p. 237) What document combines a living will and a health care power of attorney? |
D. Five Wishes |
36. (p. 238) The Patient Self-Determination Act requires providers of services under Medicare and Medicaid to do which of the following? |
A. Inform patients of their rights to appoint a health care proxy and draw up written instructions regarding treatment. |
37. (p. 242) According to Barton Bernstein, the first legal stage in cases of terminal illness |
B. involves the patient in long-range planning and arranging legal and financial affairs. |
38. (p. 242) According to Barton Bernstein, the second legal stage in cases of terminal illness involves which of the following activities? |
D. Medical personnel being notified if the dying patient intends to make an organ donation or anatomical gift |
39. (p. 243) What type of will is made orally? |
C. Nuncupative will |
40. (p. 243 and 247) A codicil relates to A. rewriting a will. |
B. amending a will. |
41. (p. 243 and 248) What is the condition when a person dies without having left a valid will? |
A. Intestate |
42. (p. 245) The conventional written legal document used for specifying a person’s wishes for the distribution of his or her estate after death is a/an |
C. formally executed will. |
43. (p. 246-247) How can a will be amended? |
C. By executing a codicil. |
44. (p. 248 and 251) In attempting to settle an estate, the court will make a determined effort to locate heirs. If none can be found the proceeds go to the A. United Way. |
C. state. |
45. (p. 248) If a person dies without leaving a valid will, his or her property will be distributed according to |
C. state rules. |
46. (p. 251) According to the laws of intestate succession, when no surviving heirs can be found, then proceeds from the estate go to |
B. the state. |
47. (p. 253) The potential benefits of life insurance include all of the following EXCEPT it |
B. increases social security benefits. |
48. (p. 253) In the United States, the first insurance company was established |
A. by the Presbyterian Synod for its ministers. |
49. (p. 253) When was the first life insurance company established in the United States? |
A. 1759 |
50. (p. 254) What type of settlement allows a person with terminal illness to sell his or her life insurance policy before death and receive a percentage of its face value? A. volume |
B. viatical |
51. (p. 214) Personal autonomy is restricted when passengers on an airline are required to wear seat belts. |
TRUE |
52. (p. 216) Physicians in the 1960s tended to withhold information regarding a life threatening condition. |
TRUE |
53. (p. 222) The New Jersey Supreme Court allowed Karen Ann Quinlan’s parents to discontinue her artificial respiration. |
TRUE |
54. (p. 222) In the case involving Nancy Beth Cruzan in 1990, the Missouri Supreme Court ultimately ruled that her parents could have her feeding tube removed. TRUE or FALSE |
TRUE |
55. (p. 225) The right to refuse treatment remains constitutionally protected even when a patient is unable to communicate. TRUE or FALSE |
TRUE |
56. (p. 225) Passive euthanasia is the bringing about of death through the administration of lethal injection. |
FALSE |
57. (p. 225) There is no medical or ethical distinction between withholding and withdrawing treatment. |
TRUE |
58. (p. 231) Some people view removal of artificial nutrition and hydration as intentional killing. |
TRUE |
59. (p. 235) By the end of the twentieth century, less than half of the U.S. had passed some form of living will legislation. TRUE or FALSE |
FALSE |
60. (p. 235) Most Americans lack living wills. |
TRUE |
61. (p. 235) Living wills contain physician orders and must be followed by emergency medical technicians. |
FALSE |
62. (p. 237) The health care proxy must be an attorney not a relative to carry out your wishes. |
FALSE |
63. (p. 240) Do-not-resuscitate orders are a type of advance directive. |
TRUE |
64. (p. 241) Paramedics and EMT’s are legally required to initiate CPR unless there is clear evidence of a valid DNR order. TRUE or FALSE |
TRUE |
65. (p. 244) State laws specify a minimum age of 21 to make a legal will. |
FALSE |
66. (p. 244) Financial advisors do not recommend the "family love letter" as it often contains emotional information and confuses EOL issues and personal desires after death. |
FALSE |
67. (p. 245) Ethical wills are a twentieth century, new means to pass on wisdom, love, and personal values. |
FALSE |
68. (p. 250) Statistics show that most people die without leaving a will. |
TRUE |
69. (p. 256) End-of-life issues and decisions are a private matter bearing directly on families and do not affect the realm of public policy. |
FALSE |
PSY 456 CHAPTER 6
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