Nursing Elites

1. According to psychosexual theory, what is crucial for healthy personality development?

• A. Children actively construct knowledge as they manipulate and explore the world.
• B. Directly observable events are the appropriate focus of psychological study.
• C. How parents manage their child's sexual and aggressive drives in the first few years.
• D. The ego makes a positive contribution to development, acquiring attitudes and skills.

Correct answer: C

Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.

2. Dr. McBride wants to know if the teacher's use of encouragement in the classroom affects the children's self-esteem. To assign children to treatment conditions, Dr. McBride should __________.

• A. carefully distribute the children according to their test scores
• B. divide the children so each group has an equal number of boys and girls
• C. draw the children's names out of a hat
• D. assign the quieter children to the same treatment condition

Correct answer: C

Rationale: Drawing the children's names out of a hat is a way to randomly assign them to treatment conditions. Random assignment helps to ensure that any differences in self-esteem that may be observed in the study are not due to pre-existing characteristics of the children. This method helps to establish a cause-and-effect relationship between the teacher's use of encouragement and the children's self-esteem. Choice A is incorrect because assigning children based on test scores may introduce bias into the study. Choice B is incorrect as balancing gender is not relevant to the research question. Choice D is incorrect as it introduces a bias by selecting a specific group of children based on a characteristic unrelated to the study objective.

3. The term teratogen refers to __________.

• A. any environmental agent that causes damage during the prenatal period
• B. a limited time span during which a part of the body is biologically prepared to develop rapidly
• C. a rapid period of prenatal neurological development
• D. a synthetic hormone used to prevent miscarriage

Correct answer: A

Rationale: The correct answer is A: 'any environmental agent that causes damage during the prenatal period.' A teratogen is any substance or factor that can cause harm to the developing fetus during pregnancy. Choice B is incorrect because it describes a critical period, not a teratogen. Choice C is incorrect as it refers to a specific period of development, not a teratogen. Choice D is incorrect because it describes a synthetic hormone, not a teratogen.

4. In the United States, the second leading cause of neonatal mortality is __________, which is largely preventable.

• A. malnutrition
• B. physical abnormality
• C. low birth weight
• D. sudden infant death syndrome

Correct answer: C

Rationale: The second leading cause of neonatal mortality in the United States is low birth weight, which is largely preventable through proper prenatal care, nutrition, and health interventions. Low birth weight infants are at higher risk for various health complications and mortality, making it an important issue to address in maternal and child health programs. Malnutrition (choice A) can contribute to low birth weight but is not the direct cause of neonatal mortality. Physical abnormality (choice B) can be a factor in some cases but is not the second leading cause overall. Sudden infant death syndrome (choice D) refers to unexplained deaths of seemingly healthy babies and is not related to low birth weight as a leading cause of neonatal mortality.

5. According to Erikson, __________ occurs when aging adults feel they have made many wrong decisions, yet time is too short to find an alternate route to integrity.

• A. mistrust
• B. despair
• C. stagnation
• D. isolation

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, despair is the stage that aging adults face when they reflect on their life and feel they have not achieved their goals, with little time left to correct their mistakes. Mistrust (choice A) is associated with infancy, stagnation (choice C) with middle adulthood, and isolation (choice D) with young adulthood, and are not relevant to the described scenario of aging adults reflecting on their life decisions.

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