Nursing Elites

1. Sigmund Freud constructed his psychosexual theory __________.

• A. on the basis of his adult patients' memories of painful childhood events
• B. by conducting studies of animal behavior
• C. on the basis of interviews with institutionalized children and adolescents
• D. by carefully observing his own children

Correct answer: A

Rationale: Sigmund Freud constructed his psychosexual theory on the basis of his adult patients' memories of painful childhood events. Freud believed that events in early childhood had a significant impact on an individual's development and personality. He used his patients' recollections of childhood experiences to develop his theories on psychosexual development. Choice B is incorrect as Freud did not base his theory on studies of animal behavior. Choice C is incorrect as Freud's theory was not solely based on interviews with institutionalized children and adolescents. Choice D is incorrect as Freud did not construct his theory by observing his own children.

2. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

3. What is the longest stage of labor?

• A. Delivery of the baby
• B. Delivery of the placenta
• C. Dilation and effacement of the cervix
• D. Release of epinephrine and cortisol

Correct answer: C

Rationale: The correct answer is C: Dilation and effacement of the cervix. This stage can last for hours, especially for first-time mothers, as the cervix needs to dilate and efface to allow for the baby's passage through the birth canal. Once the cervix is fully dilated and effaced, the woman can begin pushing during the second stage of labor to deliver the baby. The delivery of the baby itself is usually a shorter process compared to the time taken for the cervix to dilate and efface. Choices A, B, and D are incorrect because they represent other stages within the labor process that come after the dilation and effacement of the cervix.

4. Dr. Torrez believes that how conflicts between biological drives and social expectations are resolved determines the person's ability to learn, to get along with others, and to cope with anxiety. Dr. Torrez accepts the __________.

• A. psychoanalytic perspective
• B. psychosocial theory
• C. cognitive-developmental theory
• D. social learning theory

Correct answer: A

Rationale: Dr. Torrez's belief about conflicts between biological drives and social expectations influencing a person's ability to learn, get along with others, and cope with anxiety aligns with the psychoanalytic perspective. This perspective, developed by Sigmund Freud, focuses on the unconscious mind, early childhood experiences, and the resolution of inner conflicts as important factors in shaping personality and behavior. The other choices are incorrect because psychosocial theory, cognitive-developmental theory, and social learning theory do not specifically focus on conflicts between biological drives and social expectations as central to understanding human behavior and development.

5. Which statement about the harm done by teratogens is true?

• A. Passive smoking can be harmful to the developing fetus.
• B. The genetic makeup of the mother and the developing organism plays an important role.
• C. The negative impact of teratogens is usually reversible.
• D. The most serious defects occur in the germinal period.

Correct answer: B

Rationale: The statement that the genetic makeup of the mother and the developing organism plays an important role in the harm done by teratogens is true. Genetic factors can influence susceptibility to teratogens, and the interaction between genetic and environmental factors plays a significant role in determining the impact on the developing fetus. This highlights the importance of considering both genetic and environmental influences when assessing risks to prenatal development. Choice A is incorrect as passive smoking can indeed be harmful to the developing fetus. Choice C is incorrect as the negative impact of teratogens is often not reversible. Choice D is incorrect as serious defects can occur throughout prenatal development, not just in the germinal period.

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