Nursing Elites

1. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

2. According to Erikson, __________ occurs when aging adults feel they have made many wrong decisions, yet time is too short to find an alternate route to integrity.

• A. mistrust
• B. despair
• C. stagnation
• D. isolation

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, despair is the stage that aging adults face when they reflect on their life and feel they have not achieved their goals, with little time left to correct their mistakes. Mistrust (choice A) is associated with infancy, stagnation (choice C) with middle adulthood, and isolation (choice D) with young adulthood, and are not relevant to the described scenario of aging adults reflecting on their life decisions.

3. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?

• A. The death of a spouse causes a decline in the surviving partner's physical health.
• B. The death of a spouse is related to a decline in the surviving partner's physical health.
• C. A decline in a surviving partner's physical health can cause the death of a spouse.
• D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.

Correct answer: B

Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.

4. Which research method is an outgrowth of psychoanalytic theory?

• A. naturalistic observation
• B. structured observation
• C. ethnography
• D. the clinical method

Correct answer: D

Rationale: The clinical method is an outgrowth of psychoanalytic theory. This method involves in-depth, one-on-one interviews or therapy sessions to explore an individual's unconscious thoughts and emotions. It aims to gain insight into the underlying causes of behavior and psychological issues, aligning with the foundational principles of psychoanalytic theory developed by Sigmund Freud. Choices A, B, and C are not directly associated with psychoanalytic theory. Naturalistic observation, structured observation, and ethnography focus on observing behavior in natural settings, systematic observation in controlled environments, and studying cultures and societies, respectively, which are not specific to the psychoanalytic approach.

5. Piaget’s cognitive-developmental theory, information processing, and Vygotsky’s sociocultural theory all stress __________.

• A. nature over nurture
• B. changes in thinking
• C. unconscious motives and drives
• D. the effects of punishment and reinforcement on behavior Answer: B Page Ref: 26 Skill Level: Understand development. Topic: Comparing and Evaluating Theories Difficulty Level: Difficult

Correct answer: B

Rationale: Piaget’s cognitive-developmental theory, information processing, and Vygotsky’s sociocultural theory all stress changes in thinking. These theories focus on how cognitive abilities develop over time, emphasizing the growth and transformation of thinking processes rather than static traits or characteristics.

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