Nursing Elites

1. 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.

2. 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.

3. Brain growth is especially dramatic during __________, when the brain more than doubles in size.

• A. the first year
• B. the second year
• C. middle childhood
• D. adolescence

Correct answer: A

Rationale: Brain growth is especially dramatic during the first year of life when the brain more than doubles in size. This period is characterized by rapid neural development and growth. The brain doesn't double in size during the second year, making choice B incorrect. Middle childhood and adolescence do not represent periods where the brain more than doubles in size, making choices C and D incorrect, respectively.

4. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

5. The immune response is the combined work of specialized cells that neutralize or destroy __________ in the body.

• A. T cells
• B. B cells
• C. telomeres
• D. antigens

Correct answer: D

Rationale: The correct answer is D, antigens. Antigens are substances recognized by the immune system as foreign, triggering an immune response to neutralize or destroy them. In this context, T cells and B cells are specialized cells of the immune system that respond to antigens, but they are not the substances being neutralized or destroyed. Telomeres, on the other hand, are protective structures at the end of chromosomes and are not targeted for neutralization or destruction by the immune system.

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