Nursing Elites

1. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

2. Ecological systems theory views the person as __________.

• A. a blossoming flower whose development is a genetically determined series of events that unfold automatically
• B. developing within a complex system of relationships affected by multiple levels of the surrounding environment
• C. a social being influenced primarily by observational learning or adult modeling
• D. a computer-like system that actively codes, transforms, and organizes information

Correct answer: B

Rationale: Ecological systems theory views the person as developing within a complex system of relationships affected by multiple levels of the surrounding environment. This perspective emphasizes the interconnectedness of individuals with their social and physical environment, recognizing that development is influenced by various factors interacting at different levels of the ecological system. Choice A is incorrect because it describes a genetically determined development process, which is not the focus of ecological systems theory. Choice C is incorrect because it highlights observational learning as the primary influence on development, neglecting the broader environmental factors. Choice D is incorrect as it compares the person to a computer system, which does not align with the principles of ecological systems theory.

3. To study the impact of biological aging on motor skills, researchers focus on __________.

• A. sedentary adults
• B. competitive athletes
• C. men in their mid- to late thirties
• D. women in their childbearing years

Correct answer: B

Rationale: The correct answer is B: competitive athletes. Competitive athletes are often studied by researchers to investigate the impact of biological aging on motor skills because their performance is closely linked to physical abilities. Sedentary adults (choice A) may not provide a clear understanding of the relationship between biological aging and motor skills as they may not engage in consistent physical activity. Men in their mid- to late thirties (choice C) and women in their childbearing years (choice D) may not represent a group where motor skills are as finely tuned and critical to performance as in competitive athletes.

4. __________, a strong type of painkiller used in labor and delivery, blocks sensation.

• A. Anesthetics
• B. Analgesics
• C. Anti-inflammatories
• D. Folic acids

Correct answer: A

Rationale: Anesthetics, such as epidurals, are a strong type of painkiller used in labor and delivery that block sensation. They work by numbing the nerves in the lower part of the spine, providing pain relief during childbirth. Choice B, Analgesics, are pain relievers that reduce pain without causing loss of consciousness, but they are not as strong as anesthetics for labor pain. Choice C, Anti-inflammatories, are medications that reduce inflammation and do not directly block sensation like anesthetics. Choice D, Folic acids, are a type of B vitamin crucial for cell growth and metabolism, not used as painkillers in labor and delivery.

5. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

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