Nursing Elites

1. 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.

2. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

3. As a generation, the baby boomers are __________ than any previous mid- or late-life cohort.

• A. healthier, but less educated
• B. more educated, but less wealthy
• C. more self-focused, but less healthy
• D. healthier, better educated, and financially better off Answer: D Page Ref: 13 Box: CULTURAL INFLUENCES: The Baby Boomers Reshape the Life Course Skill Level: Remember Topic: The Lifespan Perspective: A Balanced Point of View Difficulty Level: Moderate

Correct answer: D

Rationale: The baby boomers are healthier, better educated, and financially better off than any previous mid- or late-life cohort. This generation has generally enjoyed higher levels of education, advancements in healthcare, and increased economic opportunities, leading to improved overall well-being compared to earlier generations.

4. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

5. An inadequate diet during pregnancy can __________.

• A. lead to higher birth weight and greater brain weight
• B. reduce the risk of pregnancy-induced maternal diabetes
• C. distort the structure of the liver, kidney, and pancreas
• D. lead to fewer physical discomforts in the final weeks Answer: C Page Ref: 88 Skill Level: Understand Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: An inadequate diet during pregnancy can lead to the distortion of the structure of the liver, kidney, and pancreas in the developing fetus. Proper nutrition during pregnancy is crucial for the healthy development of these organs and essential for the overall well-being of the baby. A balanced diet supports optimal growth and development, while inadequate nutrition can have detrimental effects on the baby's organs and long-term health.

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