Nursing Elites

1. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

2. A childbirth leave of __________ predicts favorable maternal physical and mental health, supportive marital interaction, and sensitive caregiving.

• A. 6 weeks
• B. 8 weeks
• C. 10 weeks
• D. 12 weeks or more

Correct answer: D

Rationale: Research indicates that a childbirth leave of 12 weeks or more leads to favorable outcomes for maternal physical and mental health, supportive marital interaction, and sensitive caregiving. This extended period of leave allows mothers to recover physically, adjust psychologically, and establish strong bonds with their newborn, which ultimately benefits the whole family. Choices A, B, and C are incorrect as they do not provide the optimal duration needed for mothers to experience the full range of benefits associated with an extended childbirth leave.

3. One criticism of Freud's psychosexual theory was that it __________.

• A. did not apply to other cultures
• B. underemphasized the influence of sexual feelings
• C. compared human development to the evolution of the human species
• D. offered too narrow a view of important environmental influences

Correct answer: A

Rationale: One criticism of Freud's psychosexual theory was that it did not apply to other cultures. Freud developed his theory based on observations and cases from his clinical practice in a specific cultural context, mainly Western society. This limited cultural scope raised concerns about the generalizability and applicability of his theories to diverse cultural settings. Choice B is incorrect because Freud's theory actually emphasized the significant influence of sexual feelings on human development. Choice C is incorrect because Freud's theory focused on stages of psychosexual development rather than comparing human development to the evolution of the human species. Choice D is incorrect because Freud's psychosexual theory considered environmental influences, although it primarily centered on internal drives and conflicts.

4. 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.

5. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

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