Nursing Elites

1. According to Erikson, the danger in middle childhood is __________, reflected in the pessimism of children who lack confidence in their ability to do things well.

• A. shame
• B. mistrust
• C. inferiority
• D. despair

Correct answer: C

Rationale: According to Erikson's psychosocial theory, the danger in middle childhood is 'inferiority.' During this stage, children may develop a sense of inadequacy and inferiority if they are unable to master the social and academic tasks expected of them. This feeling of inferiority can lead to low self-esteem and pessimism about their abilities. Choice A, 'shame,' is more closely associated with Erikson's stage of autonomy vs. shame and doubt in early childhood. Choice B, 'mistrust,' is linked to Erikson's stage of trust vs. mistrust in infancy. Choice D, 'despair,' is related to Erikson's stage of integrity vs. despair in late adulthood.

2. 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.

3. During her pregnancy, Padma increased her intake of coffee and tea. Her doctor is likely to tell her that high doses of caffeine contained in coffee and tea increase the risk of __________.

• A. premature labor
• B. limb deformities
• C. respiratory distress at birth
• D. low birth weight Answer: D Page Ref: 83 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Difficult

Correct answer: D

Rationale: High doses of caffeine contained in coffee and tea have been linked to an increased risk of low birth weight. Consuming large amounts of caffeine during pregnancy can interfere with the baby's growth and development, leading to a lower birth weight than expected. It is important for pregnant women to limit their caffeine intake to reduce the risk of complications such as low birth weight.

4. Dr. Kostel believes that development takes place in stages. This belief is consistent with the __________ perspective.

• A. nurture
• B. continuous
• C. discontinuous
• D. nature

Correct answer: C

Rationale: Dr. Kostel's belief in stage-based development aligns with the discontinuous perspective, which sees development as a series of distinct stages. The continuous perspective (choice B) suggests development as a smooth and gradual process without distinct stages. The nature perspective (choice D) focuses on genetic and hereditary influences on development. The nurture perspective (choice A) emphasizes the impact of environment and upbringing on development, which is not directly related to the belief in stage-based development.

5. In the __________ period, teratogens rarely have any impact.

• A. germinal
• B. embryonic
• C. fetal
• D. prenatal

Correct answer: A

Rationale: In the germinal period of prenatal development, which lasts for about the first two weeks after fertilization, the developing organism is a zygote that has not yet implanted in the uterus. During this period, teratogens rarely have any impact because essential implantation and early cellular division processes are occurring. Teratogens are more likely to have significant effects during the later embryonic and fetal periods of development. Therefore, the correct answer is A. Choice B, embryonic period, is incorrect because teratogens have a higher likelihood of impacting development during this period. Choice C, fetal period, is also incorrect as teratogens can impact development during this stage as well. Choice D, prenatal, is a broad term encompassing the entire period of development from conception to birth and is not a specific developmental stage where teratogens have a minimal impact.

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