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This test consists of 5 multiple choice questions, 5 short answer questions, and 10 short essay questions.

Multiple Choice Questions

1. By what rate did the death rate decline at Chase, after the introduction of animals?
(a) 15%.
(b) 38%.
(c) 42%.
(d) 20%.

2. What does Gawande say Jewel Douglas’ death showed him?
(a) That we are not powerless in the end.
(b) That sometimes doing nothing is better.
(c) That family is important in dying.
(d) That dignity in death takes a lot of work and planning.

3. Which of Gawande’s patients showed him “how understanding the finitude of one’s time could be a gift” (209)?
(a) Sara Monopoli.
(b) Joseph Lazaroff.
(c) Lou Sanders.
(d) Jewel Douglas.

4. What was Thomas’ first project when he arrived at Chase?
(a) To give each resident house plants.
(b) To bring in children and relatives.
(c) To introduce dogs and cats.
(d) To examine each resident and review their medical file.

5. What does Gawande say doctors have to do as people get closer to death?
(a) Find the most drastic cures and treatments.
(b) Weigh the cost effectiveness of each treatment.
(c) Consider the effect of treatment on their family units.
(d) Resist the urge to toy with their health.

Short Answer Questions

1. How does Gawande characterize his faith in Hinduism?

2. What does Jewel Douglas say is her lifeblood?

3. What does Jewel Douglas want Gawande to avoid in his operation?

4. What does Gawande say Josiah Royce described as the heart of a meaningful life?

5. What percent of Americans does Gawande say died at home in the 1980s?

Short Essay Questions

1. What are the advantages and disadvantages of Gawande ending on a personal note?

2. How do Gawande’s father’s two doctors approach his condition differently?

3. How does Gawande describe what the real job of people in medicine should be?

4. What does Sara Monopoli’s story illustrate?

5. What does Gawande say goes into a “comfort pack” (162)?

6. What does Daniel Kahneman’s research tell Gawande about painful experiences?

7. What technique does Atul Gawande learn from a palliative care physician, and use with Jewel Douglass?

8. What was Bill Thomas’ idea for bringing more self-reliance to the residents of Chase Memorial?

9. How did Bill Thomas’ idea play out?

10. What is the cause that Gawande says Josiah Royce described as keeping people engaged in their lives?

(see the answer keys)

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