Nursing Elites

1. When trying to soothe a crying baby, what technique do Western parents typically attempt first?

• A. Massaging the baby's body
• B. Offering a pacifier and a receiving blanket
• C. Playing recorded womb sounds or sounds of nature
• D. Lifting the baby to the shoulder and rocking or walking

Correct answer: D

Rationale: When Western parents aim to soothe a crying baby, the technique they usually try first is lifting the baby to the shoulder and rocking or walking. This method is effective because the motion and closeness provided by rocking or walking can help calm the baby and offer comfort. Choice A is incorrect as massaging the baby's body is not typically the first technique used. Choice B is incorrect as offering a pacifier and a receiving blanket may be tried after lifting the baby to the shoulder. Choice C is also incorrect as playing recorded sounds is usually not the initial technique attempted.

2. Which statement about the Nurse-Family Partnership is true?

• A. It is an international program to reduce the risk of teratogens.
• B. One of its goals is to promote competent early caregiving.
• C. It is a series of childbirth classes offered at many U.S. hospitals.
• D. It provides family planning and genetic counseling to couples.

Correct answer: B

Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.

3. 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.

4. What is a characteristic of structured interviews?

• A. Do not yield the same depth of information as a clinical interview
• B. Are flexible because questions are phrased differently for each participant
• C. Bring together a wide range of information on one person
• D. Tell researchers little about the reasoning behind participants' responses

Correct answer: A

Rationale: The correct answer is A. Structured interviews do not yield the same depth of information as a clinical interview because they involve a set of standardized questions that are asked in the same way to all participants. This lack of flexibility may limit the depth and richness of the responses obtained compared to a more open-ended clinical interview. Choices B, C, and D are incorrect because structured interviews are not flexible in question phrasing, do not necessarily bring together a wide range of information on one person, and can provide insights into participants' reasoning behind responses depending on the design of the structured questions.

5. Under ethical standards, when is deception permitted in research studies?

• A. if the participants are young enough that they would not understand the deception
• B. if investigators satisfy institutional review boards that such practices are necessary
• C. if researchers can observe participants from behind one-way mirrors
• D. if the participants give informed consent and the researchers never reveal the real purpose of the study

Correct answer: B

Rationale: Ethical standards permit deception in research studies if investigators satisfy institutional review boards that such practices are necessary. Institutional review boards are responsible for ensuring that research studies comply with ethical guidelines and protect the welfare of study participants. Deception should only be used when necessary, and the board's approval indicates that safeguards are in place to minimize harm to participants. Choices A, C, and D are incorrect because ethical deception in research studies is not based on the age of participants, observing from behind mirrors, or obtaining informed consent without revealing the study's real purpose.

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