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Chapter 11
101. (p. 389) As medically defined, stillbirth refers to the death
of a child occurring between
A. the 20th week of pregnancy and birth.
B. conception and the 12th week of pregnancy.
C. the 12th week of pregnancy and birth.
D. birth and 28 days after birth.
102. (p. 403-404) Of the following factors, the one LEAST likely to
influence the outcome of spousal bereavement is the
A. age of the surviving spouse.
B. involvement of the couple’s children.
C. gender of the surviving spouse.
D. quality of medical and nursing staff.
103. (p. 388) A major source of conflict among bereaved couples in
coping with the death of a child relates to
A. differences in beliefs and expectations.
B. the cause of the child’s death.
C. their view of themselves as a couple.
D. their view of themselves as parents.

104. (p. 387-388) Which of the following statements are TRUE about
parental bereavement in couples?
1. A feeling of estrangement and a strong bond can occur between the parents at
the same time.
2. A partner’s behavior can be misinterpreted by the other and can cause
3. Different grieving styles may decrease the couple’s sense of commonality.
4. Urging each other to be strong in public is an important component of
getting past the grieving phase and into the healing phase of bereavement.
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4
105. (p. 391) A parent’s attachment to a child begins
A. when the child can speak and communicate.
B. once the child develops a unique personality.
C. before the child is born.
D. during the delivery of the child.

106. (p. 408) The elderly tend to be more
A. monotonous than other age groups.
B. individually distinct than other age groups.
C. carefree than other age groups.
D. active than other age groups.
107. (p. 385) During the stage of psychosocial development termed
“young adulthood,” the conflict to be resolved involves
A. generativity and stagnation.
B. integrity and despair.
C. trust and autonomy.
D. intimacy and isolation.
108. (p. 408) Which of the following are reasons given by aged
people for accepting death?
1. Death is preferable to inactivity.
2. Death is preferable to becoming a burden.
3. Death is preferable to living alone.
4. Death is preferable to loss of mental faculties.
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4

109. (p. 394) For newly bereaved parents of a stillborn child, their
recovery from grief is aided by
A. removing the stillborn as quickly as possible.
B. seeing and holding the baby.
C. signing the death certificate and avoiding the child.
D. taking home the baby’s remains.

110. (p. 390) Giving up a child for adoption is an example of
A. emotional stress.
B. philanthropy.
C. reproductive loss.
D. cruel parenting.

Chapter 12
111. (p. 442) Of the individuals who commit suicide, approximately
what percentage write suicide notes?
A. 10 percent
B. 25 percent
C. 45 percent
D. 65 percent

112. (p. 421) The largest mass suicide in modern times occurred in
A. Jonestown, Guyana.
B. New Delhi, India.
C. Poznan, Poland.
D. Tokyo, Japan.
113. (p. 418) Which of the following are limitations of the
psychological autopsy?
1. retrospective nature
2. the individual of interest is not available for examination
3. over abundance of standardized procedures
4. third-party informants may distort representations of the decedent for a
variety of reasons
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4

114. (p. 440-441) According to a study of suicide notes, which of the
following was a critical factor cited by individuals who used an
“active” or graphic method of attempting suicide?
A. rejection
B. depression
C. substance abuse
D. alienation

115. (p. 441) According to the ranking of lethality given in the text,
which of the following methods is the LEAST likely to result in suicide?
A. drowning
B. cutting
C. gunshot
D. poison

116. (p. 437) A mutual arrangement wherein two or more individuals
decide to kill themselves at the same time is known as a
A. cluster suicide.
B. mass extermination.
C. suicide pact.
D. group suicide.
117. (p. 417) A psychological autopsy is
A. an individual’s perspective of death.
B. an individual’s attitude toward death.
C. a method of determining how a person feels about death.
D. a method of determining a person’s thoughts and feelings prior to death.
118. (p. 432) Brian Barry’s description of pro-life forces includes
all of the following EXCEPT:
A. a belief that problems can promote growth.
B. a belief that problems are inherently unsolvable.
C. a willingness to struggle.
D. the fear of death.
119. (p. 416) Coroners tend to list suicide as the cause of death
A. in most cases.
B. only when a separate and distinct cause cannot be determined.
C. only when circumstances unequivocally justify such a determination.
D. when they believe that foul play was involved.

120. (p. 431) Which of the following are considered risk factors that
influence suicidal behaviors?
1. culture
2. personality
3. group situation
4. biological factors
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4

Chapter 13
121. (p. 476) Which of the following types of media played a
particularly vital role in the acquisition and exchange of information
following the World Trade Center attack on September 11?
A. radio
B. Internet
C. television
D. newspaper
122. (p. 473) Which of the following statements support a negative
response in treating terrorism as war?
1. War is generally defined as a state of usually open and declared armed
hostile conflict between states or nations.
2. War is designed to attract attention and generate widespread fear.
3. War is generally viewed as an activity conducted according to socially
recognized rules.
4. War is aimed to destroy the sense of security people normally feel in
familiar places.
A. 1 and 2
B. 1 and 3
C. 2 and 3
D. 2 and 4
123. (p. 462) Studies show violence is reduced when
A. early curfews obeyed.
B. social interaction is kept at a minimum.
C. handgun laws are enforced.
D. communities work together to create a safe and orderly environment.

124. (p. 456-456) When someone involved in a high-risk sport suffers
an accident and dies, others in that sport often talk about how the deceased
failed to take adequate precautions. Why?
A. This explanation enables others to continue in the sport while not focusing
on the inherent dangers of the activity.
B. This explanation allows others to continue with the sport realizing that an
accident could also happen to them.
C. This explanation allows others to rethink the sport and consider ways to
improve upon its safety.
D. This explanation prevents others from thinking about the individual, so they
can continue to focus on the activity and its dangers.

125. (p. 470) In his classic work, On War, Karl von
Clausewitz, defined war as
A. hell.
B. the continuation of political policy by other means.
C. a condition of hostilities between two opposing forces.
D. a struggle between two nations where lives are lost.
126. (p. 470) War creates a “phantom army” composed of
A. civilians who are caught in the middle of combat.
B. patriots and older veterans who cheer on the troops.
C. politicians and media pundits who generate hatred for the enemy and desire
for victory.
D. spouses, children, and parents who serve at home.
127. (p. 458) In what fraction of all murders is a gun used?
A. one-quarter
B. one-third
C. one-half
D. two-thirds

128. (p. 464) According to studies by the International Red Cross,
what percentage of casualties in modern warfare are civilians rather than
military combatants?
A. 20 percent
B. 40 percent
C. 70 percent
D. 90 percent

129. (p. 468) Genocide involves the effort to
A. determine the biological roots of violence.
B. destroy an entire nation or human group.
C. eradicate social practices that favor violence.
D. modify genetic factors that cause violence.
130. (p. 467) In combat situations, most soldiers are motivated to
fight because of their
A. will to survive.
B. sense of camaraderie.
C. sense of patriotism.
D. desire to be heroic.

Chapter 14
131. (p. 502) According to Islamic tradition, the angelic beings
Munkar and Nakir
A. punish wrongdoers with death.
B. interrogate the deceased.
C. represent the devil.
D. inspire the deceased’s family.

132. (p. 519) With respect to care of the dying, why does one need to
be cautious about accepting a rosy view about the meaning of near-death
A. Dying persons need attention and concern in their present circumstances.
B. Discussing near-death experiences may cause unnecessary fear in the dying
C. Research proves that near-death experiences are merely hallucinations.
D. Discussing near-death experiences gives a false sense of hope to the dying.
133. (p. 495) The Hebrew word She’ol refers to
A. the underworld of the dead.
B. hell.
C. heaven.
D. everlasting life.
134. (p. 496) The ancient Hebrews viewed the notion of human
personhood as an
A. incarnated soul.
B. existent phenomenon.
C. entity that will be reincarnated.
D. animated body.

135. (p. 506) The religious traditions of Hinduism and Buddhism both
A. death as negative and life as positive.
B. teachings about transmigration of the soul.
C. death and life as irreconcilable opposites.
D. teachings about the absence of an afterlife.

136. (p. 506) Nirvana literally means
A. liberation.
B. deification.
C. elimination.
D. extinction.

137. (p. 516) Psychoanalytic pioneer Oskar Pfister attributed the
near-death experiences of skiers and climbers to
A. psychological defense mechanisms.
B. the Oedipal complex.
C. separation anxiety experienced in childhood.
D. beliefs in God and eternal bliss.

138. (p. 499) In Christian beliefs, the intermediate state where an
opportunity for purification is offered to eliminate any remaining personal
obstacles to the full enjoyment of eternal union with God is called
A. Hades.
B. Polis.
C. Purgatory.
D. Koan.
139. (p. 495) The ancient Hebrews praised righteous conduct because

A. it guarantees future rewards for the individual.
B. it leads to harmony in the present life.
C. they feared eternal damnation.
D. they feared the physical pain of dying.
140. (p. 510) What percentage of Americans say they believe in life
after death?
A. 60 percent
B. 70 percent
C. 80 percent
D. 90 percent
Chapter 15
141. (p. 543) The shoe advertisement shown in the text is used to
A. how death is a universal concept.
B. how death is socially acceptable.
C. death imagery in advertising design.
D. how distasteful some advertising can be.

142. (p. 545) In ancient Greece, it was considered exceptional luck to
A. during childhood.
B. at a very old age.
C. at the peak of creativity.
D. during a self-chosen time of solitude.

143. (p. 527-529) Which of the following advantages are gained by
studying death and dying?
1. It sheds light on past experiences with loss.
2. It helps individuals dissipate feelings of guilt or blame.
3. It helps individuals avoid the severe pain of grief.
4. It opens up unexpressed and unresolved grief.
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4

144. (p. 541) The premise of Kit Reed’s story, “Golden
Acres,” is that
A. people should enjoy relaxed, leisurely lives in their old age.
B. elderly people prefer to live in rural, rather than urban, environments.
C. elderly people occupy a large proportion of the population and overcrowding
may lead to life-or-death decisions.
D. people should be allowed to die a natural death in familiar surroundings
when they reach the end of their lifespan.

145. (p. 539) In Japan, high-rise cemeteries exist because
A. people prefer to be buried, not cremated.
B. burial space is subject to strict zoning laws.
C. people prefer modern burial accommodations.
D. burial space in large cities is at a premium.

146. (p. 547) Which of the following are included in the concept of an
appropriate death?
1. relative absence of pain
2. adequate human resources
3. resolution of conflicts
4. long life
A. 1, 2 and 3
B. 1, 2 and 4
C. 1, 3 and 4
D. 2, 3 and 4

147. (p. 530) According to David Balk, to bridge the gap between
researchers and practitioners, we need
A. a dynamic exchange between theory and practice that makes research a useful
form of gaining knowledge.
B. a step-by-step progression rather than a dynamic process.
C. to eliminate the “cultural split” between thanatologists and
D. to get practitioners to read the literature produced by the researchers.

148. (p. 533) Dan Leviton and William Wendt characterize
large-scale, premature, human-caused, and unnecessary death as
A. heroic.
B. tragic.
C. horrendous.
D. gripping.

149. (p. 532) The curricula of death education and standards for
measuring outcome are
A. still being defined.
B. impossible to define adequately.
C. well-defined, but difficult to measure.
D. well-defined and easy to measure.

150. (p. 544) An extremely casual attitude toward death may
A. result from investigation and study.
B. result from an NDE.
C. show a deeper acceptance.
D. mask a more subtle denial.

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