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During the U.S.Civil War, Army Major John Letterman developed a system for evacuating casualties aimed at reducing the time between injury and care.What is the term for this system


A) Ambulatory care
B) Triage
C) Medevac
D) Systematic trauma care

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

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In which country is the most influential model of modern hospice care


A) United States
B) England
C) Japan
D) Switzerland

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

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When a nurse says to a patient "Oh, you're doing so well," his or her intention is probably to


A) compare him or her to others.
B) avoid discussion and deny seriousness of the ailment.
C) help the patient realize that everybody is cheering him or her on.
D) provide reassurance to the patient.

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

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Surveys indicate that most people diagnosed with a life-threatening illness


A) would rather suspect it without being told directly.
B) would rather not know.
C) want to be told.
D) do not want their families to be told.

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

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A covenantal relationship in healthcare implies a mutuality of interests between providers and patients.

A) True
B) False

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Midway between institutionalization and independent living is a form of care for the elderly called


A) elder hostels.
B) congregate housing.
C) senescence.
D) skilled nursing facilities.

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

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Dr.Elisabeth KΓΌbler-Ross wanted to


A) educate medical interns about dying patients.
B) set up hospices to care for the terminally ill.
C) educate the media about death and dying in their community.
D) help physicians separate their emotions from their science.

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

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The goal of palliative care is to cure the patient's disease.

A) True
B) False

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Which country spends more on health than any other industrialized country


A) United States
B) Sweden
C) Belgium
D) Japan

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

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In what year was the first civilian helicopter medevac program established


A) 1970
B) 1966
C) 1969
D) 1965

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

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The "principle of symmetry" advocated by Daniel Callahan states that a technology should be judged by a balance between the


A) cost and the seriousness of the illness.
B) extension and saving of life and the quality of life.
C) cost and the extension of life.
D) desire to live and the ability to pay for medical care.

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

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An example of "respite care" is temporary care that gives caregivers a break.

A) True
B) False

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Nonverbal communication includes gestures, postures, and clothing.

A) True
B) False

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In conversations that involve news of a life-threatening diagnosis, details can be given in segments.

A) True
B) False

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Critical Incident Stress Management (CISM) refers to


A) a department in U.S.Homeland Security.
B) the triage system in a hospital.
C) intervention following traumatic events.
D) professional management of emergency room personnel.

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

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Death notification style can be significant in a family's experience of grief.

A) True
B) False

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When communicating a life-threatening diagnosis to a patient, a physician must consider the patient's 1) personality. 2) emotional constitution. 3) capacity for continued function under stress. 4) long-term health care insurance.


A) 1, 2, and 3
B) 1, 2, and 4
C) 1, 3, and 4
D) 2, 3, and 4

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

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A reaction to stress in which a carer goes beyond exhaustion and depression to being "past caring" is termed


A) concern fatigue.
B) burnout.
C) grief.
D) empathetic depression.
True / False Questions

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

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Christian hospices were built on a military model of efficiency to aid gladiators and slaves.

A) True
B) False

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