Nursing Elites

1. Max, age 65, learned to play the piano at a local senior center. Max demonstrates that __________.

• A. aging is an eventual 'shipwreck'
• B. learning follows a predictable timetable
• C. development is plastic at all ages
• D. musical talent peaks in late adulthood

Correct answer: C

Rationale: Max, age 65, learning to play the piano at a local senior center demonstrates that development is plastic at all ages. This means that individuals have the potential to learn and grow regardless of their age, showing that it is never too late to acquire new skills and experiences. Choice A is incorrect because it presents a negative view of aging, which is not supported by Max's actions. Choice B is incorrect as it implies that learning is restricted to certain age periods, which is contradicted by Max's experience. Choice D is incorrect because Max's learning of the piano at 65 suggests that musical talent can be developed at any age, not necessarily peaking in late adulthood.

2. Most cognitive aging research has focused on intellectual ________.

• A. stability
• B. gains
• C. competence
• D. deficits

Correct answer: D

Rationale: The correct answer is 'D: deficits.' Most cognitive aging research has indeed focused on deficits rather than stability, gains, or competence. Studies have consistently shown that deficits in processing speed and memory are common in aging individuals, making it a primary area of interest in research. Choices A, B, and C are incorrect because cognitive aging research primarily aims to understand and address deficits associated with aging rather than focusing on stability, gains, or overall competence.

3. As school-age children move into adolescence, self-concept is increasingly vested in feedback from __________.

• A. close friends
• B. family members
• C. younger children
• D. the inner self

Correct answer: A

Rationale: During adolescence, individuals start to rely more on feedback from close friends to develop their self-concept. Close friends play a significant role during this transitional period as they provide peer validation, support, and influence. Family members, although important, may not hold the same level of influence on self-concept during adolescence as close friends do. Younger children are unlikely to provide the necessary feedback and validation needed during this developmental stage. While self-reflection and understanding the inner self are vital for personal growth, during adolescence, external feedback from close friends tends to have a more pronounced impact on shaping self-concept.

4. 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.

5. The mother feels a natural urge to squeeze and push with her abdominal muscles during which stage of labor?

• A. first
• B. second
• C. third
• D. fourth

Correct answer: B

Rationale: The mother feels a natural urge to squeeze and push with her abdominal muscles during the second stage of labor. This stage occurs after the cervix is fully dilated and ends with the delivery of the baby. Choice A (first) is incorrect as the first stage is mainly characterized by the dilation of the cervix. Choice C (third) is incorrect as the third stage is the delivery of the placenta, and choice D (fourth) is incorrect as the fourth stage is the recovery period after childbirth.

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