Nursing Elites

1. __________ aging reflects the reality that aging well involves not only achievement of desirable outcomes but also effective coping with life's challenges and losses.

• A. Optimal
• B. Successful
• C. Peerless
• D. Capital

Correct answer: B

Rationale: The correct answer is 'Successful.' Successful aging encompasses achieving desirable outcomes and coping effectively with life's challenges and losses. 'Optimal' could imply a focus solely on achieving the best outcomes without considering challenges and losses. 'Peerless' means unmatched or unrivaled, which does not address coping with challenges. 'Capital' is related to wealth or assets and is not suitable in the context of aging and coping with life's difficulties.

2. If pregnancy does not occur, the corpus luteum shrinks, and the __________.

• A. cells begin to duplicate
• B. one-celled zygote multiplies and forms a blastocyst
• C. germinal period lasts only about two weeks
• D. lining of the uterus is discarded

Correct answer: D

Rationale: If pregnancy does not occur, the corpus luteum will shrink. As a result, the lining of the uterus is discarded through the process of menstruation. This shedding of the uterine lining is what causes menstrual bleeding. Choices A, B, and C are incorrect because they do not describe the physiological response of the body when pregnancy does not occur. The corpus luteum shrinking and the subsequent shedding of the uterine lining are part of the menstrual cycle, not processes related to cell duplication, zygote multiplication, or the duration of the germinal period.

3. Prenatally malnourished babies frequently __________.

• A. reject breast milk
• B. have enlarged hearts
• C. catch respiratory illnesses
• D. have a higher-than-average birth weight

Correct answer: C

Rationale: Prenatally malnourished babies frequently catch respiratory illnesses. Malnourished babies have weakened immune systems, making them more susceptible to illnesses such as respiratory infections. This is a common consequence that is observed in babies who did not receive adequate nutrition during the prenatal period. Choices A, B, and D are incorrect. While malnourished babies may have feeding challenges, rejecting breast milk is not a common consequence. Enlarged hearts are not typically associated with prenatal malnutrition, and having a higher-than-average birth weight is unlikely in malnourished babies.

4. How does physical activity impact mental health?

• A. Reduces anxiety and depression
• B. Improves mood, but decreases alertness
• C. Decreases mood, alertness, and energy
• D. Decreases neural activity in the cerebral cortex

Correct answer: A

Rationale: Physical activity is known to have a positive impact on mental health by reducing symptoms of anxiety and depression. Choice B is incorrect because physical activity generally improves both mood and alertness. Choice C is incorrect as physical activity tends to increase mood, alertness, and energy levels. Choice D is incorrect as physical activity actually increases neural activity in the cerebral cortex, which is associated with improved cognitive function and mental well-being.

5. Professor Higgins is concerned about the findings of a longitudinal study on childhood depression that she conducted between 1985 and 2015 in New York because many of the participants witnessed the terrorist attacks on the World Trade Center. Professor Higgins is concerned about __________ effects.

• A. practice
• B. cross-sectional
• C. dropout
• D. cohort

Correct answer: D

Rationale: The concern Professor Higgins has regarding the findings of the longitudinal study is related to cohort effects. Cohort effects occur when a specific group of individuals experience a common event or circumstance that could influence the results of a study. In this case, the participants witnessing the terrorist attacks on the World Trade Center could have had a significant impact on their development and mental health outcomes, leading to cohort effects observed in the study. Choice A, 'practice,' is incorrect as it refers to the repeated performance of an activity to improve skill. Choice B, 'cross-sectional,' is incorrect as it involves data collection at a single point in time. Choice C, 'dropout,' is incorrect as it refers to participants leaving a study prematurely.

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