Nursing Elites

1. An obstetrician tells a 42-year-old patient that she can have a healthy baby, but that she is of 'advanced maternal age.' The patient is so upset that she fails to listen to the rest of the doctor's advice, goes home in a huff, and immediately dyes her hair.

• A. the age of the sperm.
• B. the age of her eggs.
• C. her risk of developing diabetes.
• D. her cholesterol level, not her appearance.

Correct answer: B

Rationale: The correct answer is 'the age of her eggs.' As women age, the quality of their eggs decreases, leading to a higher risk of chromosomal abnormalities and infertility. This decline in egg quality is why advanced maternal age is associated with a higher risk of certain pregnancy complications. Choices A, C, and D are incorrect because the primary concern in this context is related to the age-related changes in a woman's eggs, not sperm, diabetes risk, or cholesterol levels.

2. Positive feedback mechanisms usually result in

• A. changes returning values away from a set point.
• B. stable conditions around a set point.
• C. unstable conditions.
• D. long-term changes.

Correct answer: C

Rationale: Positive feedback mechanisms usually result in unstable conditions. In a positive feedback loop, the output enhances or amplifies the changes that are occurring, leading to a deviation from the initial set point. Therefore, positive feedback does not bring values back towards the set point (Choice A). Choice B is incorrect because positive feedback does not promote stability around a set point. Choice D is also incorrect as positive feedback mechanisms typically do not lead to long-term changes; instead, they intensify the initial change, causing instability.

3. In the early days, healers transitioned from superstition and magic to using natural chemicals in the field of medicine.

• A. True
• B. False
• C. Not Sure
• D. None of the above

Correct answer: A

Rationale: The statement is true. The field of medicine evolved as early healers moved away from superstition and magic, instead focusing on natural chemicals to treat illnesses. This transition marked a shift towards a more scientific and evidence-based approach to healthcare. This historical transition is well-documented in the evolution of medicine. Choice B is incorrect because the statement accurately reflects the historical development of medicine. Choice C is incorrect as the historical transition from superstition to natural chemicals is a well-documented aspect of the evolution of medicine. Choice D is incorrect as the statement provided is true.

4. Signs of aging at the cellular level are

• A. graying hair, waning strength, and wrinkles.
• B. unrepaired DNA and abnormal proteins.
• C. impaired cell division and the ability to break down and recycle worn cell parts.
• D. a fatty liver and clogged blood vessels.

Correct answer: C

Rationale: The correct answer is 'impaired cell division and the ability to break down and recycle worn cell parts.' Aging at the cellular level involves reduced efficiency in cell division and the breakdown/recycling of cellular components, leading to functional decline. Choices A, B, and D are incorrect because they involve external physical manifestations or organ-specific issues rather than cellular-level changes associated with aging.

5. Which of the following processes is most important for the continuation of the human species?

• A. Responsiveness
• B. Movement
• C. Reproduction
• D. Respiration

Correct answer: C

Rationale: Reproduction is the most important process for the continuation of the human species as it involves the creation of new individuals. Without reproduction, the human species would cease to exist. Responsiveness and movement are essential for individual survival and functioning but do not directly impact the continuation of the species. Respiration is crucial for obtaining energy but is not directly linked to the continuation of the species.

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