Nursing Elites

1. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

2. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

3. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

4. Which factor fosters a more positive, coherent early self-concept?

• A. Permissive parenting
• B. A warm, sensitive parent-child relationship
• C. Authoritarian parenting
• D. Strong identification with an other-sex parent

Correct answer: B

Rationale: A warm, sensitive parent-child relationship is crucial in fostering a positive and coherent early self-concept in children. This type of relationship provides support, security, and emotional guidance, helping children develop a strong sense of self-worth and self-identity. Permissive parenting (Choice A) may lead to confusion and inconsistency in discipline, impacting the child's self-concept negatively. Authoritarian parenting (Choice C), characterized by strict rules and a lack of warmth, can result in a child feeling insecure and having a negative self-concept. Strong identification with an other-sex parent (Choice D) may influence gender identity development but may not directly impact the early self-concept in the same way a warm and sensitive parent-child relationship does.

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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