Nursing Elites

1. According to Erikson, __________ occurs when aging adults feel they have made many wrong decisions, yet time is too short to find an alternate route to integrity.

• A. mistrust
• B. despair
• C. stagnation
• D. isolation

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, despair is the stage that aging adults face when they reflect on their life and feel they have not achieved their goals, with little time left to correct their mistakes. Mistrust (choice A) is associated with infancy, stagnation (choice C) with middle adulthood, and isolation (choice D) with young adulthood, and are not relevant to the described scenario of aging adults reflecting on their life decisions.

2. Pregnant women are wise to avoid eating __________, which are heavily contaminated with __________.

• A. long-lived predatory fish; mercury
• B. freshwater fish; lead
• C. long-lived predatory fish; polychlorinated biphenyls
• D. freshwater fish; radiation

Correct answer: A

Rationale: Pregnant women are wise to avoid eating long-lived predatory fish, which are heavily contaminated with mercury. Mercury is a known teratogen, meaning it can negatively impact the development of the fetus and lead to birth defects. It is recommended that pregnant women choose fish with lower levels of mercury to reduce potential risks to the baby's health. Choices B, C, and D are incorrect because lead, polychlorinated biphenyls, and radiation are not typically found in fish at levels that pose significant risks to pregnant women and the developing fetus.

3. Which country does not rank well on any key measure of children's health and well-being?

• A. Sweden
• B. Spain
• C. Australia
• D. The United States

Correct answer: D

Rationale: The United States is the correct answer as it ranks poorly in measures of children's health and well-being compared to other developed nations. According to the extract provided, the United States does not perform well in this aspect. Choices A, B, and C are incorrect as there is no information provided suggesting that Sweden, Spain, or Australia do not rank well on key measures of children's health and well-being.

4. Dr. McBride wants to know if the teacher's use of encouragement in the classroom affects the children's self-esteem. To assign children to treatment conditions, Dr. McBride should __________.

• A. carefully distribute the children according to their test scores
• B. divide the children so each group has an equal number of boys and girls
• C. draw the children's names out of a hat
• D. assign the quieter children to the same treatment condition

Correct answer: C

Rationale: Drawing the children's names out of a hat is a way to randomly assign them to treatment conditions. Random assignment helps to ensure that any differences in self-esteem that may be observed in the study are not due to pre-existing characteristics of the children. This method helps to establish a cause-and-effect relationship between the teacher's use of encouragement and the children's self-esteem. Choice A is incorrect because assigning children based on test scores may introduce bias into the study. Choice B is incorrect as balancing gender is not relevant to the research question. Choice D is incorrect as it introduces a bias by selecting a specific group of children based on a characteristic unrelated to the study objective.

5. Which statement about the harm done by teratogens is true?

• A. Passive smoking can be harmful to the developing fetus.
• B. The genetic makeup of the mother and the developing organism plays an important role.
• C. The negative impact of teratogens is usually reversible.
• D. The most serious defects occur in the germinal period.

Correct answer: B

Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.

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