Nursing Elites

1. Ethnographic research is directed toward understanding a culture through __________ observation.

• A. naturalistic
• B. participant
• C. systematic
• D. structured

Correct answer: B

Rationale: Ethnographic research is directed toward understanding a culture through participant observation. This type of observation involves the researcher immersing themselves in the culture being studied, actively participating in the daily activities and interactions of the group being studied. Through participant observation, researchers can gain a deep and nuanced understanding of the culture from the inside. Choice A, naturalistic observation, typically refers to observing subjects in their natural environment without interference, but it does not involve actively participating in the culture. Choice C, systematic observation, focuses on carefully planned and structured data collection methods but may not involve direct participation. Choice D, structured observation, implies a predefined set of guidelines for observation but lacks the immersive aspect of participant observation.

2. What is a characteristic of structured interviews?

• A. Do not yield the same depth of information as a clinical interview
• B. Are flexible because questions are phrased differently for each participant
• C. Bring together a wide range of information on one person
• D. Tell researchers little about the reasoning behind participants' responses

Correct answer: A

Rationale: The correct answer is A. Structured interviews do not yield the same depth of information as a clinical interview because they involve a set of standardized questions that are asked in the same way to all participants. This lack of flexibility may limit the depth and richness of the responses obtained compared to a more open-ended clinical interview. Choices B, C, and D are incorrect because structured interviews are not flexible in question phrasing, do not necessarily bring together a wide range of information on one person, and can provide insights into participants' reasoning behind responses depending on the design of the structured questions.

3. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

4. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

5. Under ethical standards, when is deception permitted in research studies?

• A. if the participants are young enough that they would not understand the deception
• B. if investigators satisfy institutional review boards that such practices are necessary
• C. if researchers can observe participants from behind one-way mirrors
• D. if the participants give informed consent and the researchers never reveal the real purpose of the study

Correct answer: B

Rationale: Ethical standards permit deception in research studies if investigators satisfy institutional review boards that such practices are necessary. Institutional review boards are responsible for ensuring that research studies comply with ethical guidelines and protect the welfare of study participants. Deception should only be used when necessary, and the board's approval indicates that safeguards are in place to minimize harm to participants. Choices A, C, and D are incorrect because ethical deception in research studies is not based on the age of participants, observing from behind mirrors, or obtaining informed consent without revealing the study's real purpose.

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