Nursing Elites

1. Development is best understood as __________.

• A. genetically determined
• B. environmentally influenced
• C. an unsolvable puzzle
• D. a series of complex exchanges between nature and nurture

Correct answer: D

Rationale: The correct answer is D. Development is best understood as a series of complex exchanges between nature (genetic factors) and nurture (environmental influences). This perspective emphasizes the interaction and interplay between genetic predispositions and environmental experiences in shaping an individual's development. Choices A and B are too extreme as they suggest that development is solely determined by genetics or solely influenced by the environment, which is not the case. Choice C is incorrect as development is not viewed as an unsolvable puzzle but rather as a dynamic process influenced by multiple factors.

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. Dr. Anderson wants to conduct a study to determine the cause-and-effect relationship between domestic violence and anger in children. Dr. Anderson should use a(n) __________ design.

• A. structured
• B. observational
• C. correlational
• D. experimental

Correct answer: D

Rationale: Dr. Anderson should use an experimental design to determine the cause-and-effect relationship between domestic violence and anger in children. In an experimental design, the researcher manipulates the independent variable (in this case, exposure to domestic violence) to observe its effect on the dependent variable (anger in children). This design allows for the establishment of a cause-and-effect relationship by controlling for other variables that may influence the outcomes. Observational design (Choice B) involves observing subjects in their natural environment without interference, correlational design (Choice C) examines the relationship between variables without manipulating them, and structured design (Choice A) typically refers to a study with predetermined procedures and data collection methods, which may not be suitable for establishing cause-and-effect relationships.

4. The embryonic disk __________.

• A. becomes the new organism
• B. is the outer ring of cells on a blastocyst
• C. has a good chance of survival outside the womb
• D. is a protective membrane that surrounds the amnion Answer: A Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: The embryonic disk becomes the new organism. It is a cluster of cells within the blastocyst that will develop into the fetus during the early stages of prenatal development. This cluster of cells is responsible for giving rise to all the tissues and organs of the developing organism.

5. Low-level radiation, resulting from industrial leakage or medical X-rays, __________.

• A. is harmful only when combined with other teratogens
• B. can increase the risk of childhood cancer
• C. rarely causes lasting damage
• D. is safe during the last trimester

Correct answer: B

Rationale: Low-level radiation, whether from industrial leakage or medical X-rays, can increase the risk of childhood cancer by potentially damaging the developing fetus's cells. Even though the risk is relatively low, it is still a significant concern that should be acknowledged and monitored closely, especially during prenatal development. Choice A is incorrect as low-level radiation can still be harmful on its own without the need to be combined with other teratogens. Choice C is incorrect because low-level radiation exposure can indeed cause lasting damage, especially in the context of childhood cancer risk. Choice D is incorrect because low-level radiation exposure, even during the last trimester, can pose risks to the developing fetus and is not considered entirely safe.

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