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This quiz consists of 5 multiple choice and 5 short answer questions through Chapter 7 — Hard Conversations.

Multiple Choice Questions

1. What does Gawande say Josiah Royce described as the heart of a meaningful life?
(a) Community and history.
(b) Comfort and predictability.
(c) Self-actualization.
(d) Loyalty to a higher cause.

2. What does Gawande say Ilych wanted?
(a) To be remembered.
(b) To be lionized.
(c) To be pitied.
(d) To be celebrated.

3. What does Lou Sanders’ daughter Shelley compare him to when he comes to live with her and her family?
(a) A cornered old turtle.
(b) A nervous girl making new friends.
(c) A kid getting on the bus.
(d) A restless dog that cannot settle.

4. How does Gawande characterize the trend among geriatrics departments in hospitals?
(a) Opening in more and more hospitals.
(b) No change from the past 30 years.
(c) Mostly closing down.
(d) Closing more than opening.

5. What was Thomas’ explanation for the decline in the death rate?
(a) Laughter at the animals was therapeutic.
(b) The animals gave people stronger antibodies.
(c) He had given people a reason to live.
(d) Sicker patients avoided the facility.

Short Answer Questions

1. How does Gawande characterize the decline of health for people with “chronic illnesses—emphysema, liver disease, and congestive heart failure”?

2. What does Gawande say is the thing that strikes him most about Lazaroff’s case?

3. How did Bill Thomas overcome the institutional inertia that might have complicated his plans to introduce animals?

4. How does Gawande say insurance companies respond after the Nelene Fox case found insurance companies at fault for not paying for expensive treatments?

5. What was the alternative Lazaroff was offered beside surgery?

(see the answer key)

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