Nursing Elites

1. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

2. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

3. According to Erikson, the major personality attainment of adolescence is __________.

• A. trust
• B. identity
• C. autonomy
• D. intimacy

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, the major personality attainment of adolescence is identity. During adolescence, individuals go through a stage called 'Identity vs. Role Confusion,' where they explore different roles and develop a sense of self. Trust (choice A) is associated with the first stage of Erikson's theory, autonomy (choice C) is linked to the toddler stage, and intimacy (choice D) is a key aspect of the young adulthood stage.

4. Nine-year-old Krista gives part of her allowance to charity and collects canned goods for the food bank through her scout troop. Krista is developing __________.

• A. pride
• B. empathy
• C. guilt
• D. inferiority

Correct answer: B

Rationale: The correct answer is B: empathy. Empathy is the ability to understand and share the feelings of others, which is a crucial social development in childhood. In this scenario, Krista's actions of giving to charity and collecting goods for the food bank demonstrate her growing empathy towards those in need. Choice A, pride, does not capture the essence of understanding and sharing others' feelings. Choice C, guilt, is not appropriate as there is no indication that Krista feels guilty about her actions. Choice D, inferiority, is unrelated to the positive behavior displayed by Krista.

5. __________ parenting in particular is linked to emerging adults' psychological well-being.

• A. Overprotective
• B. Permissive
• C. Autonomy-supportive
• D. Helicopter

Correct answer: C

Rationale: Autonomy-supportive parenting, which encourages independence and decision-making skills, is positively linked to the psychological well-being of emerging adults. This style of parenting fosters resilience and self-esteem. Overprotective parenting (choice A) may hinder the development of autonomy and problem-solving abilities, leading to increased anxiety. Permissive parenting (choice B) lacks structure and limits, potentially resulting in difficulties with self-regulation. Helicopter parenting (choice D) involves excessive intervention and control, which can impede the development of self-reliance and confidence.

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