Nursing Elites

1. Dr. O'Connor wants 90-year-old Mr. Takashi to participate in a research study that involves moderate risks. Mr. Takashi is incapable of consenting. Which statement best expresses your advice regarding Mr. Takashi's participation in the study?

• A. He should not be allowed to participate in the study under any circumstances.
• B. He should be allowed to participate in the study regardless of the benefit.
• C. He should be allowed to participate in the study only if his participation will benefit others.
• D. He should be allowed to participate in the study only if it is likely to benefit him directly.

Correct answer: D

Rationale: Mr. Takashi should be allowed to participate in the study only if it is likely to benefit him directly. This decision aligns with the principle of beneficence in research ethics, which emphasizes maximizing benefits and minimizing risks for research participants. Since Mr. Takashi is incapable of giving consent, his participation should be based on the likelihood of direct benefits to him rather than solely for the benefit of others or solely for research purposes. Option A is too restrictive and does not consider potential benefits to Mr. Takashi. Option B is flawed as it disregards the need for the study to benefit Mr. Takashi. Option C focuses on benefiting others, which is not the primary consideration when the participant cannot give consent.

2. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

3. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

4. __________ parenting in particular is linked to emerging adults' psychological well-being.

• A. Overprotective
• B. Permissive
• C. Autonomy-supportive
• D. Helicopter

Correct answer: C

Rationale: Autonomy-supportive parenting, which encourages independence and decision-making skills, is positively linked to the psychological well-being of emerging adults. This style of parenting fosters resilience and self-esteem. Overprotective parenting (choice A) may hinder the development of autonomy and problem-solving abilities, leading to increased anxiety. Permissive parenting (choice B) lacks structure and limits, potentially resulting in difficulties with self-regulation. Helicopter parenting (choice D) involves excessive intervention and control, which can impede the development of self-reliance and confidence.

5. People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to __________ influences.

• A. age-graded
• B. history-graded
• C. nonnormative
• D. bio-historical Answer: B Page Ref: 9‒10 Skill Level: Remember Topic: The Lifespan Perspective: A Balanced Point of View Difficulty Level: Easy

Correct answer: B

Rationale: People born during the baby boom between 1946 and 1964 tend to be alike in ways that set them apart from people born at other times due to history-graded influences. These influences refer to the events and conditions that are common to a particular historical era and can significantly shape the development and experiences of individuals who live through them. The post-World War II era, economic prosperity, and social changes during the baby boom period are examples of historical events that have had a lasting impact on this generation.

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