Nursing Elites

1. Recent evidence suggests that paternal alcohol use around the time of conception __________.

• A. can alter gene expression
• B. can cause fetal alcohol syndrome
• C. is linked to blood vessel abnormalities
• D. has no negative effect on the developing organism

Correct answer: A

Rationale: Recent evidence suggests that paternal alcohol use around the time of conception can alter gene expression. This means that paternal alcohol consumption can potentially impact the genes and genetic materials passed on to offspring, affecting their development and health. Choice B is incorrect because fetal alcohol syndrome is typically associated with maternal alcohol consumption during pregnancy, not paternal alcohol use around conception. Choice C is incorrect as there is no direct link between paternal alcohol use and blood vessel abnormalities. Choice D is incorrect as paternal alcohol use can indeed have negative effects on the developing organism, particularly through altering gene expression.

2. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

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. Cindy tells her daughter, “I know you can do a good job on that homework” because she believes that if she encourages persistence, her daughter will start to view herself as hardworking and high-achieving. Cindy is applying the __________ approach.

• A. behavior modification
• B. psychosocial
• C. cognitive-developmental
• D. social-cognitive Answer: D Page Ref: 17 Skill Level: Apply Topic: Mid-Twentieth-Century Theories Difficulty Level: Difficult

Correct answer: D

Rationale: Cindy is applying the social-cognitive approach by encouraging her daughter to believe in her own abilities and persist in her efforts. This approach emphasizes the importance of social influences and cognitive processes in shaping behavior. By providing positive reinforcement and fostering a belief in her daughter's capabilities, Cindy is helping to shape her daughter's self-perception and motivation to achieve success.

5. 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.

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