Nursing Elites

1. 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.

2. Where does the male produce sperm, and where are these glands located?

• A. penis; scrotum
• B. scrotum; penis
• C. testes; penis
• D. testes; scrotum

Correct answer: D

Rationale: The male produces sperm in the testes, which are two glands located in the scrotum. The scrotum is the external sac that houses and protects the testes, allowing for optimal temperature regulation to support sperm production. Choice A is incorrect because sperm production does not occur in the penis. Choice B is incorrect because the scrotum houses the testes, not the penis. Choice C is incorrect because sperm is produced in the testes, not the penis.

3. In mammals, including humans, the sense of smell __________.

• A. does not become adultlike for several years
• B. helps mothers and babies identify each other
• C. is the least developed sense at birth
• D. takes about four months to become adultlike

Correct answer: B

Rationale: The sense of smell in mammals, including humans, plays a crucial role in helping mothers and babies identify each other. This is important for initiating bonding and caregiving behaviors. Choice A is incorrect because the sense of smell is functional at birth and not entirely underdeveloped for several years. Choice C is incorrect as the sense of smell is actually well-developed at birth. Choice D is incorrect because the sense of smell is functional from birth and does not take several months to become adultlike.

4. 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.

5. Charles Darwin's theory of evolution emphasized __________ and __________.

• A. the normative approach; survival of the fittest
• B. noble savages; physical maturation
• C. tabula rasa; natural selection
• D. natural selection; survival of the fittest

Correct answer: D

Rationale: Charles Darwin's theory of evolution emphasized natural selection and survival of the fittest. Natural selection is the process by which organisms with traits that help them survive and reproduce in their environment are more likely to pass on these traits to their offspring. Survival of the fittest refers to the idea that the organisms best adapted to their environment are more likely to survive and reproduce, leading to the gradual evolution of species over time. Both concepts are central to Darwin's theory of evolution. Choices A, B, and C are incorrect as they do not accurately reflect the key principles highlighted by Darwin in his theory of evolution.

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