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. Which of the following is a self-conscious emotion?

• A. guilt
• B. happiness
• C. interest
• D. fear

Correct answer: A

Rationale: The correct answer is A, guilt. Guilt is a self-conscious emotion that involves reflecting on one's actions and feeling remorse. Self-conscious emotions are those that require self-reflection and self-evaluation. Choices B, C, and D are not self-conscious emotions. Happiness and fear are not self-conscious emotions as they do not necessarily involve self-reflection. Interest is not a self-conscious emotion but rather a feeling of curiosity or attraction towards something.

3. Critics worry that fetal monitoring __________.

• A. numbs the entire lower half of the body, making it difficult to feel contractions
• B. is not helpful in detecting hidden problems with the baby
• C. identifies babies as in danger who, in fact, are not
• D. increases the likelihood of infant brain damage

Correct answer: C

Rationale: Critics worry that fetal monitoring may identify babies as in danger who, in fact, are not. This can lead to unnecessary interventions and stress for the parents. It is important to carefully consider the accuracy and benefits of fetal monitoring to avoid unnecessary harm to both the mother and the baby. Choice A is incorrect because fetal monitoring does not cause numbness in the lower half of the body. Choice B is incorrect as fetal monitoring is helpful in detecting hidden problems with the baby. Choice D is incorrect as there is no direct link between fetal monitoring and an increased likelihood of infant brain damage.

4. What did John Bowlby believe?

• A. Adults and more expert peers help children master culturally meaningful activities.
• B. The infant-caregiver bond has lifelong consequences for human relationships.
• C. Parents and infants are both instinctively attached to each other.
• D. Attachment patterns are difficult to study in humans.

Correct answer: B

Rationale: John Bowlby believed that the infant-caregiver bond has lifelong consequences for human relationships. This is supported by his theory of attachment, where he emphasized the importance of early attachment experiences in shaping individuals' future relationships. Choice A is incorrect as it does not reflect Bowlby's main focus on attachment theory. Choice C is incorrect as Bowlby's theory suggests that attachment is more than just instinctual. Choice D is also incorrect as Bowlby's work actually paved the way for the study of attachment patterns in humans.

5. In a cross-sectional design, researchers study __________.

• A. the same group of participants repeatedly at different ages
• B. groups of participants differing in age at the same point in time
• C. groups of participants of the same age in different years
• D. participants of the same age at the same point in time

Correct answer: B

Rationale: In a cross-sectional design, researchers study groups of participants differing in age at the same point in time. This design allows researchers to compare different age groups simultaneously, providing valuable insight into age-related differences without the need to track the same group over time. Choice A is incorrect because it describes a longitudinal design where the same group is followed over time. Choice C is incorrect as it involves different groups of the same age studied at different times. Choice D is incorrect as it does not capture the essence of a cross-sectional design, which involves studying groups of different ages at the same point in time.

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