The Uniform Determination of Death Act identifies medical standards for writing living will documents.

True

False

False

The Uniform Determination of Death Act is legislation enacted to address the definition of death.

Health care professionals are bound to abide by the wishes of their clients within legal parameters.

True

False

A person must be competent to sign a power of attorney.

True

False

An individual's choices in dying:

• Are influenced by culture, religious beliefs, legal ramifications.
• Are topics for discussion in all cultures.
• Are protected by identical laws in all states.
• Will always be carried out.

Are influenced by culture, religious beliefs, legal ramifications.

A person's age does not influence their reaction to death.

True

False

Fear is often a significant psychological aspect of dying.

True

False

True

It is best not to try to contradict the denial stage of grief.

True

False

The Uniform Anatomical Gift Act allows individuals to:

• Write a Death with Dignity Document.
• Make a gift of all or any part of their body for transplantation, science, or therapy.
• Make a gift of all or any part of their body only in the state of Oregon.
• Determine monetary gifts to be made following death

Make a gift of all or any part of their body for transplantation, science, or therapy.

The Patient Self-Determination Act requires that all adults have advance directives in place.

True

False

False

This law requires that certain institutions who receive federal dollars patients must be given written information about their right to accept or refuse medical or surgical treatment and also be given information about their right to formulate advance directives. No person is required to have advance directives.

The durable power of attorney for health care:

• must be recorded in the National Registry in order to be valid
• can be done verbally
• allows someone else to make health care decisions for a person
• can be signed by an incompetent person

allows someone else to make health care decisions for a person

Living wills and/or advance directives:

a. Allow clients some control over choices in dying.

b. May dictate when and if extraordinary means are to be used to preserve life.

c. Are legal only in Oregon and Washington.

d. A,B, and C

e. A and B only

e. A and B only

Hospice:

a. Discourages the presence of children because they can be disruptive to ill persons.

b. Encourages CPR, intravenous therapy, nasogastric tubes, and antibiotics.

c. Is usually more expensive than acute care costs.

d. All of the above

e. None of the above

e. None of the above

Kübler-Ross's ve stages of grief:

a. Describes stages of grief experienced by all who are dying.

b. Are represented by the TEARS acronym.

c. Are identified as denial, anger, bargaining, depression, and acceptance.

d. Will always be experienced in the order described by Kübler-Ross.

e. C and D

c. Are identified as denial, anger, bargaining, depression, and acceptance.

Medications to relieve pain are often over-prescribed and therefore cause addiction problems in persons who are terminally ill. 

True

False

False

In the terminally ill, pain medication is often under-prescribed

Physician-assisted death is legal in every state.

True

False

False

Per the text, physician-assisted death is only legal in Oregon and Washington.  However since the text was published more states have followed suit.

Autopsies

a. Require the authorization of the coroner or a family member

b. Are done to determine the cause of death if the circumstances are unclear

c. May be complete or partial

d. A and B only

e. A, B, and C

e. A, B, and C

Cases like the Karen Ann Quinlan and Terri Schiavo conflicts could be avoided if 

• the Uniform Anatomical Gift Act is followed by families.
• the Patient Self-Determination Act is followed by hospitals.
• individuals complete advanced directives or living wills.
• all of the above.

individuals complete advanced directives or living wills.

The majority of American adults are registered organ donors.

True

False

False

According to your text, less than 20% of American adults are registered organ donors.

In physician-assisted death, the physician provides and actually administers the lethal dose of medication to the client.

True

False

False

In physician-assisted death, the physician provides (i.e. prescribes) a dying individual with a lethal dose of medication to be self-administered.  In active euthanasia, the physician administers a lethal dose to the client.  In the U.S. active euthanasia is illegal.