Nursing Elites

1. New evidence suggests that __________.

• A. there is very little cultural diversity in human development
• B. environmental, but not personal, contexts shape development
• C. development occurs in a neat, orderly sequence of stages unaffected by distinct contexts
• D. people not only are affected by but also contribute to the contexts in which they develop Answer: D Page Ref: 6 Skill Level: Understand Topic: Basic Issues Difficulty Level: Difficult

Correct answer: D

Rationale: The correct answer is D because the statement aligns with the concept of reciprocal influences in human development. The new evidence suggests that individuals are not only influenced by the contexts in which they develop but also contribute to shaping those contexts. This idea highlights the dynamic and interactive nature of human development, emphasizing the bidirectional relationship between individuals and their environments.

2. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

3. Women who __________ tend to reach menopause earlier.

• A. have had two or more children
• B. do not smoke
• C. have not borne children
• D. have borne twins

Correct answer: C

Rationale: The correct answer is C: 'have not borne children.' Women who have not borne children may experience menopause earlier due to lower levels of certain reproductive hormones. Having two or more children (choice A) is not typically associated with reaching menopause earlier. Smoking (choice B) is known to have negative effects on menopause but does not necessarily cause it to happen earlier. Borne twins (choice D) is a specific scenario and not a general factor influencing the timing of menopause.

4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

5. During her labor, Renee asks for a mild dose of painkillers to help her relax. Renee will probably be given __________.

• A. an anesthetic
• B. an analgesic
• C. folic acid
• D. an anti-inflammatory medication Answer: B Page Ref: 97 Skill Level: Apply and any dangers associated with each. Topic: Medical Interventions Difficulty Level: Moderate

Correct answer: B

Rationale: Renee will likely be given an analgesic during her labor to help manage her pain and provide relaxation. Analgesics are painkillers that can help reduce pain without causing loss of consciousness, making them suitable for labor pain management. Examples of analgesics commonly used during labor include opioids like morphine and non-opioids like acetaminophen.

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