Nursing Elites

1. During pregnancy, the placenta __________.

• A. forms in the second trimester of pregnancy
• B. encloses the developing organism in amniotic fluid
• C. contains one large vein that delivers nutrients to the embryo
• D. delivers food and oxygen to the developing organism

Correct answer: D

Rationale: The placenta delivers food and oxygen to the developing organism during pregnancy. It is a temporary organ that forms in the first trimester of pregnancy. Choice A is incorrect as the placenta forms in the first trimester, not the second trimester. Choice B is incorrect as the amniotic sac, not the placenta, encloses the developing organism in amniotic fluid. Choice C is incorrect as the placenta contains blood vessels (arteries and veins) that deliver nutrients to the embryo, not just one large vein.

2. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

3. What increases from early to middle adulthood?

• A. Possible selves
• B. Self-doubt
• C. Destructiveness
• D. Autonomy

Correct answer: A

Rationale: Possible selves are ideas about what one might become in the future, which increase during the transition from early to middle adulthood. This period is characterized by individuals exploring and considering different potential future selves. Self-doubt (choice B) typically decreases as individuals become more confident and self-assured in middle adulthood. Destructiveness (choice C) is not a common developmental trend during this period. Autonomy (choice D) is a concept related to independence and self-governance, which may develop over a person's lifespan but does not specifically increase during the transition from early to middle adulthood.

4. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

5. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

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