Nursing Elites

1. What is largely responsible for the worldwide rise in cesarean deliveries?

• A. Use of natural or prepared childbirth
• B. Use of a doula
• C. Medical control over childbirth
• D. Apgar testing

Correct answer: C

Rationale: Medical control over childbirth is largely responsible for the worldwide rise in cesarean deliveries. Cesarean deliveries are often performed due to various medical interventions such as monitoring the progress of labor, fetal distress, and other complications that may arise during childbirth. The increasing use of medical interventions and technology has contributed to the higher rate of cesarean deliveries globally. Choices A, B, and D are incorrect because they do not directly involve the decision-making and interventions typically carried out by medical professionals during childbirth, which are major factors leading to the rise in cesarean deliveries.

2. Evolutionary developmental psychology __________.

• A. focuses on how the structures of the mind develop to better fit with, or represent, the external world
• B. seeks to understand the adaptive value of species-wide competencies as those competencies change with age
• C. views the human mind as a symbol-manipulating system through which information flows
• D. brings together researchers from many fields to study changes in the brain and behavior patterns

Correct answer: B

Rationale: Evolutionary developmental psychology seeks to understand the adaptive value of species-wide competencies as those competencies change with age. This field focuses on how psychological traits and behaviors have evolved to enhance survival and reproduction over time. It emphasizes the interaction between evolutionary principles and developmental processes to provide insights into human behavior and cognition. Choices A, C, and D are incorrect because they do not accurately describe the primary focus of evolutionary developmental psychology. Choice A is more aligned with cognitive psychology, choice C relates to cognitive science, and choice D could pertain to multidisciplinary approaches but not specifically to evolutionary developmental psychology.

3. The more alcohol a woman consumes during pregnancy, the __________.

• A. higher the birth weight of the child
• B. greater the likelihood of ARND instead of FAS or p-FAS
• C. poorer the child's achievement scores in the school years
• D. greater the child's speed of information processing

Correct answer: C

Rationale: The correct answer is C: 'poorer the child's achievement scores in the school years.' Prenatal exposure to alcohol has been linked to a range of cognitive and behavioral difficulties, including lower academic achievement in children. These difficulties may manifest as poor achievement scores in later school years. Choices A, B, and D are incorrect because alcohol consumption during pregnancy is not associated with higher birth weight of the child, the likelihood of ARND instead of FAS or p-FAS, or greater speed of information processing in the child.

4. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

5. Dr. O'Connor wants 90-year-old Mr. Takashi to participate in a research study that involves moderate risks. Mr. Takashi is incapable of consenting. Which statement best expresses your advice regarding Mr. Takashi's participation in the study?

• A. He should not be allowed to participate in the study under any circumstances.
• B. He should be allowed to participate in the study regardless of the benefit.
• C. He should be allowed to participate in the study only if his participation will benefit others.
• D. He should be allowed to participate in the study only if it is likely to benefit him directly.

Correct answer: D

Rationale: Mr. Takashi should be allowed to participate in the study only if it is likely to benefit him directly. This decision aligns with the principle of beneficence in research ethics, which emphasizes maximizing benefits and minimizing risks for research participants. Since Mr. Takashi is incapable of giving consent, his participation should be based on the likelihood of direct benefits to him rather than solely for the benefit of others or solely for research purposes. Option A is too restrictive and does not consider potential benefits to Mr. Takashi. Option B is flawed as it disregards the need for the study to benefit Mr. Takashi. Option C focuses on benefiting others, which is not the primary consideration when the participant cannot give consent.

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