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Irreversible coma includes all of the following criteria except


A) unreceptive and unresponsive to painful stimuli.
B) spontaneous movements or breathing.
C) no reflexes, with fixed dilated pupils.
D) lack of eye movement and deep tendon reflexes.

E) B) and C)
F) A) and D)

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The use of Harvard Criteria for declaration of an irreversible coma includes an


A) EKG.
B) EEG.
C) EKG with repeat in 24 hours.
D) EEG with repeat in 24 hours.

E) B) and C)
F) None of the above

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D

Active euthanasia


A) is illegal.
B) violates the medical profession's ethics.
C) a and b.
D) none of the above.

E) C) and D)
F) A) and B)

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A DNR order can be placed on the medical chart of a patient by the


A) physician.
B) nurse.
C) EMT.
D) pharmacist.

E) B) and C)
F) All of the above

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Discontinuing ventilation support for a patient who is brain dead will result in


A) respiratory death.
B) cardiac death.
C) neurological damage.
D) all of the above.

E) All of the above
F) None of the above

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A facility with a homelike atmosphere where terminally ill patients find comfort until death is called a


A) hospital.
B) hostel.
C) hospice.
D) all of the above.

E) None of the above
F) A) and D)

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A legal death is a


A) respiratory death.
B) brain death.
C) cardiac death.
D) thermal death.

E) None of the above
F) All of the above

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Advice regarding the course of action taken for a dying loved one can be given by


A) any healthcare worker.
B) the physician.
C) a nurse.
D) all of the above.

E) C) and D)
F) B) and D)

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Viatical settlements allow terminally ill persons to


A) borrow money from a loan company.
B) obtain money from their life insurance policies.
C) obtain money from the federal government for experimental treatments.
D) obtain money through Medicaid without paying taxes.

E) B) and C)
F) A) and B)

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B

The total care of patients whose disease is no longer responsive to curative therapy is


A) palliative care.
B) preventive care.
C) hospice care.
D) euthanasia.

E) A) and B)
F) All of the above

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Before terminating a life-support system, a physician should


A) ignore the advice of the family.
B) seek an outside medical opinion.
C) seek the advice of a lawyer.
D) talk with the religious counselor.

E) B) and C)
F) A) and B)

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The intentional killing of the terminally ill person is called


A) passive euthanasia.
B) active euthanasia.
C) ordinary means.
D) b and c.

E) A) and D)
F) A) and C)

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B

Prolonged absence of oxygen can result in


A) neurological damage.
B) brain death.
C) cardiac death.
D) all of the above.

E) All of the above
F) C) and D)

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Justifications for euthanasia include


A) individuals should have the right to determine the outcome of their lives.
B) there is no certainty regarding death.
C) modern technology may find a cure for a terminal disease.
D) there is value and dignity to every human life.

E) A) and B)
F) All of the above

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Ethical considerations of the terminally ill patient include


A) withdrawing versus withholding treatment.
B) active euthanasia versus passive euthanasia.
C) ordinary versus extraordinary means.
D) all of the above.

E) B) and C)
F) All of the above

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Criteria or standards that assist in the determination of death include


A) a significant drop of body temperature.
B) loss of consciousness.
C) rigor mortis.
D) a and c.

E) B) and D)
F) A) and C)

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Patients have the legal right to


A) refuse treatment.
B) refuse food.
C) refuse fluids.
D) all of the above.

E) A) and B)
F) A) and C)

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According to the brain-oriented death definition, death occurs when


A) there is irreversible cessation of all brain function.
B) the brain stem is the only portion continuing to function.
C) breathing is the only remaining function.
D) heart action is the only remaining function.

E) B) and C)
F) C) and D)

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Withdrawing life-sustaining treatment refers to


A) not starting artificial methods of maintaining life.
B) discontinuing artificial methods of maintaining life.
C) gradually discontinuing feeding.
D) gradually discontinuing ventilation.

E) B) and D)
F) All of the above

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Healthcare facilities, in order to receive Medicare or Medicaid funding, must ask patients if they have


A) life insurance.
B) health insurance.
C) long-term care insurance.
D) an advance directive.

E) None of the above
F) All of the above

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