Nursing Elites

1. Erikson believed that successful resolution of intimacy versus isolation prepares the individual for the middle adulthood stage, which focuses on __________.

• A. initiative
• B. autonomy
• C. generativity
• D. industry

Correct answer: C

Rationale: Erikson's theory of psychosocial development highlights generativity as the central focus of middle adulthood. Generativity involves being productive, caring for others, and contributing to society. This stage is characterized by a desire to leave a lasting impact on future generations. Choices A, B, and D are incorrect. Initiative is associated with the preschool years, autonomy with early childhood, and industry with middle childhood according to Erikson's stages of development.

2. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

3. During pregnancy, the placenta __________.

• A. forms in the second trimester of pregnancy
• B. encloses the developing organism in amniotic fluid
• C. contains one large vein that delivers nutrients to the embryo
• D. delivers food and oxygen to the developing organism

Correct answer: D

Rationale: The placenta delivers food and oxygen to the developing organism during pregnancy. It is a temporary organ that forms in the first trimester of pregnancy. Choice A is incorrect as the placenta forms in the first trimester, not the second trimester. Choice B is incorrect as the amniotic sac, not the placenta, encloses the developing organism in amniotic fluid. Choice C is incorrect as the placenta contains blood vessels (arteries and veins) that deliver nutrients to the embryo, not just one large vein.

4. When children are research participants, __________.

• A. Investigators need to seek the opinion of others if in doubt about the harmful effects of research.
• B. They have the right to concealment of their identity on information collected in the course of research.
• C. There is a need to inform them or their parents of the results of the research.
• D. Informed consent of their parents as well as others who act on their behalf should be obtained.

Correct answer: D

Rationale: When children are research participants, it is essential to obtain informed consent from their parents or others who act on their behalf. This is to ensure that the child's rights and well-being are protected during the research process. Informed consent is a fundamental ethical principle in research involving children, as they may not have the capacity to fully understand the implications of their participation. Choice A is incorrect because seeking the opinion of others when in doubt about harmful effects is not a substitute for informed consent. Choice B is incorrect because children do not have an absolute right to conceal their identity in research, especially when it comes to ensuring their safety and well-being. Choice C is incorrect as it is important to inform children or their parents about the results of the research to maintain transparency and respect for their participation.

5. New evidence suggests that __________.

• A. there is very little cultural diversity in human development
• B. environmental, but not personal, contexts shape development
• C. development occurs in a neat, orderly sequence of stages unaffected by distinct contexts
• D. people not only are affected by but also contribute to the contexts in which they develop Answer: D Page Ref: 6 Skill Level: Understand Topic: Basic Issues Difficulty Level: Difficult

Correct answer: D

Rationale: The correct answer is D because the statement aligns with the concept of reciprocal influences in human development. The new evidence suggests that individuals are not only influenced by the contexts in which they develop but also contribute to shaping those contexts. This idea highlights the dynamic and interactive nature of human development, emphasizing the bidirectional relationship between individuals and their environments.

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