Match the following physiological changes that occur in middle age to the clinical manifestation. Loss of blood vessel elasticity
- A. High blood pressure.
- B. Menopause.
- C. Constipation.
- D. Skin wrinkling.
- E. Decreased sperm production.
Correct Answer: B
Rationale: Loss of blood vessel elasticity leads to high blood pressure due to increased vascular resistance.
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Match the stage, according to Erikson, to the appropriate age range. Become a productive member of society and establish a family
- A. Recognize accomplishments and provide emotional support
- B. Keep realistic expectations for behavior and recognize accomplishments
- C. Review accomplishments made by the person
- D. Increase independence; provide praise and encouragement
- E. Avoid criticizing relationships; teach how to establish realistic goals
- F. Provide consistent affectionate care
- G. Encourage creativity, answer questions; do not threaten or label behavior as 'bad'
Correct Answer: G
Rationale: Assisting with planning for the future supports generativity vs. stagnation, promoting productivity and family establishment.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. A baby boy is born into a family of five (three siblings and two parents). The family qualifies for food stamps and medical assistance. He has an atrial-septal defect that will be repaired when he is older. His parents are in their late 30s and are very loving and supportive; they do not speak English very well. What factor will have the most influence on the baby's development?
- A. His heart defect
- B. His loving, supportive environment
- C. His family's lack of extra income
- D. His parents' inability to speak English fluently
Correct Answer: B
Rationale: A loving, supportive environment is critical for psychosocial development (e.g., Erikson's trust vs. mistrust stage) and has the most significant positive impact on the baby's development.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. You are the school nurse in a large high school. A female student comes to you and asks you about the signs and symptoms of various sexually transmitted diseases (STDs). Which of the following is the best response?
- A. Let the teenager know you are shocked that she needs to ask these questions.
- B. Refer her to different brochures and resources about STDs.
- C. Answer her questions and ask her if she is concerned that she may have an STD.
- D. Ask her what symptoms she is having and reassure that they are probably not signs of an STD. This will gain her trust.
Correct Answer: B,C
Rationale: Providing accurate information and assessing concerns respects the teen's autonomy (Erikson's identity vs. role confusion stage) and promotes health education.
Match Kohlberg's stages of moral development with their descriptions. Individualism and relativism.
- A. Young adolescent focuses on being good and helping others, not just focusing to on follow what the rules is but fair to feel good rather about than motives what,
- B. Adult's behavior is motivated by the desire to follow internal values and moral principles.
- C. Child equates doing right with no punishment and doing wrong with punishment.
- D. Young adolescent follows laws for the greater good and because of respect for laws for authority,
- E. Adult has concern for human rights and dignity; desires impartial interpretation of justice,
- F. Child focuses on what is fair rather than what might be best for the larger group.
Correct Answer: F
Rationale: In Kohlberg's preconventional level, individualism and relativism (stage 2) involves children focusing on fairness and personal benefit.
Choose the correct answer(s). In some questions, more than one answer is correct. Select all that apply. People may not achieve all the stages of moral development and Fowler's stages of spiritual development may be biased to Western cultures. What is important to take away from the information in your textbook about moral and spiritual development?
- A. Development along these lines is erratic.
- B. Moral and spiritual development may be influenced by many factors.
- C. All people have moral and spiritual aspects to their personalities.
- D. It is best to assume that people are morally and spiritually developed.
Correct Answer: B,C
Rationale: Moral and spiritual development are influenced by various factors (e.g., culture, environment) and are universal aspects of personality, but progression is not guaranteed or uniform.
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