Nursing Elites

1. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

2. One criticism of Freud's psychosexual theory was that it __________.

• A. did not apply to other cultures
• B. underemphasized the influence of sexual feelings
• C. compared human development to the evolution of the human species
• D. offered too narrow a view of important environmental influences

Correct answer: A

Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.

3. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

4. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

5. The influence of situational factors on moral judgments indicates that like Piaget's cognitive stages, Kohlberg's moral stages are __________.

• A. predictable and universal
• B. highly organized and sequential
• C. attained in a neat, stepwise fashion
• D. loosely organized and overlapping

Correct answer: D

Rationale: The correct answer is D. Kohlberg's moral stages are not strictly sequential but rather overlap and are more fluid, much like Piaget's cognitive stages. Choices A, B, and C are incorrect because Kohlberg's stages do not follow a neat, predictable, or highly organized pattern, as they can be revisited and experienced in varying orders.

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