Nursing Elites

1. 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.

2. A combined Apgar score of __________ indicates that the infant is in good physical condition.

• A. less than 3
• B. 3 or 4
• C. 5 or 6
• D. 7 or better

Correct answer: D

Rationale: A combined Apgar score of 7 or better indicates that the infant is in good physical condition. The Apgar score is a quick assessment of a newborn's overall health shortly after birth. It evaluates the baby's heart rate, respiratory effort, muscle tone, reflexes, and color. A score of 7 or higher indicates that the baby is adjusting well to life outside the womb. Choices A, B, and C are incorrect as they represent scores that indicate the infant may need medical attention or assistance as they are below the threshold of 7 which signifies good physical condition.

3. Theorists who contend that powerful negative events in the first few years cannot be fully overcome by later, more positive ones emphasize __________.

• A. plasticity
• B. stability
• C. nurture
• D. discontinuity

Correct answer: B

Rationale: Theorists who emphasize stability argue that powerful negative events early in life cannot be completely overcome by later, more positive experiences. They believe that early experiences have a lasting impact on development and are not easily erased or reversed by subsequent events. This perspective contrasts with the idea of plasticity, which suggests that development can be influenced by experiences at any point in life, and that individuals have the capacity for change and growth throughout the lifespan. 'Nurture' does not directly address the concept of overcoming negative events, while 'discontinuity' refers to developmental stages being separate and distinct, not the idea that negative events early in life persist despite later positive experiences.

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. Sigmund Freud constructed his psychosexual theory __________.

• A. on the basis of his adult patients' memories of painful childhood events
• B. by conducting studies of animal behavior
• C. on the basis of interviews with institutionalized children and adolescents
• D. by carefully observing his own children

Correct answer: A

Rationale: Sigmund Freud constructed his psychosexual theory on the basis of his adult patients' memories of painful childhood events. Freud believed that events in early childhood had a significant impact on an individual's development and personality. He used his patients' recollections of childhood experiences to develop his theories on psychosexual development. Choice B is incorrect as Freud did not base his theory on studies of animal behavior. Choice C is incorrect as Freud's theory was not solely based on interviews with institutionalized children and adolescents. Choice D is incorrect as Freud did not construct his theory by observing his own children.

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