Nursing Elites

1. 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.

2. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

3. 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.

4. 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.

5. The term teratogen refers to __________.

• A. any environmental agent that causes damage during the prenatal period
• B. a limited time span during which a part of the body is biologically prepared to develop rapidly
• C. a rapid period of prenatal neurological development
• D. a synthetic hormone used to prevent miscarriage

Correct answer: A

Rationale: The correct answer is A: 'any environmental agent that causes damage during the prenatal period.' A teratogen is any substance or factor that can cause harm to the developing fetus during pregnancy. Choice B is incorrect because it describes a critical period, not a teratogen. Choice C is incorrect as it refers to a specific period of development, not a teratogen. Choice D is incorrect because it describes a synthetic hormone, not a teratogen.

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