Nursing Elites

1. According to Erikson, the major personality attainment of adolescence is __________.

• A. trust
• B. identity
• C. autonomy
• D. intimacy

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, the major personality attainment of adolescence is identity. During adolescence, individuals go through a stage called 'Identity vs. Role Confusion,' where they explore different roles and develop a sense of self. Trust (choice A) is associated with the first stage of Erikson's theory, autonomy (choice C) is linked to the toddler stage, and intimacy (choice D) is a key aspect of the young adulthood stage.

2. When children are research participants, __________.

• A. Investigators need to seek the opinion of others if in doubt about the harmful effects of research.
• B. They have the right to concealment of their identity on information collected in the course of research.
• C. There is a need to inform them or their parents of the results of the research.
• D. Informed consent of their parents as well as others who act on their behalf should be obtained.

Correct answer: D

Rationale: When children are research participants, it is essential to obtain informed consent from their parents or others who act on their behalf. This is to ensure that the child's rights and well-being are protected during the research process. Informed consent is a fundamental ethical principle in research involving children, as they may not have the capacity to fully understand the implications of their participation. Choice A is incorrect because seeking the opinion of others when in doubt about harmful effects is not a substitute for informed consent. Choice B is incorrect because children do not have an absolute right to conceal their identity in research, especially when it comes to ensuring their safety and well-being. Choice C is incorrect as it is important to inform children or their parents about the results of the research to maintain transparency and respect for their participation.

3. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

4. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

5. Which statement about interventions that support parents and preterm infants is true?

• A. Preterm infants whose parents receive coaching show no gains in mental test performance.
• B. Babies who are both preterm and economically disadvantaged require long-term, intensive intervention.
• C. For economically disadvantaged parents of preterm infants, just a few sessions of coaching are required.
• D. Even for parents with adequate economic and personal resources, long-term, intensive intervention is necessary. Answer: B Page Ref: 100 Skill Level: Understand Copyright © 2018 Laura E. Berk. All Rights Reserved. 29 Test Bank for Berk, Development Through the Lifespan, 7e interventions. Topic: Preterm and Low-Birth-Weight Infants Difficulty Level: Moderate

Correct answer: B

Rationale: Babies who are both preterm and economically disadvantaged typically require long-term, intensive intervention. This is because the combination of being born preterm and being economically disadvantaged can pose significant challenges for the infant's development. Providing ongoing support and interventions can help address these challenges and promote healthy development in these infants.

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