Nursing Elites

1. A __________ is a means of building schemes in which an infant who has stumbled onto a new experience caused by his or her own motor activity tries to repeat the event again and again.

• A. sensorimotor reflex
• B. circular reaction
• C. mental representation
• D. goal-directed behavior

Correct answer: B

Rationale: A circular reaction is a process where an infant repeats a specific action to explore and learn about the environment through their own motor activity. This repetition helps the infant to understand the consequences of their actions and build cognitive schemes. Sensorimotor reflex (choice A) refers to automatic responses to stimuli, not a purposeful repetition of actions to learn. Mental representation (choice C) involves internal cognitive structures to represent objects or events in the mind, which is different from the repetitive behavior described in the question. Goal-directed behavior (choice D) is purposeful and intentional, unlike the repetitive nature of circular reactions in infants' learning process.

2. An ovum bursts from one of a woman's two __________ and is drawn into one of two __________.

• A. ovaries; testes
• B. fallopian tubes; ovaries
• C. corpus luteum; fallopian tubes
• D. ovaries; fallopian tubes Answer: D Page Ref: 76 Skill Level: Remember Topic: Prenatal Development Difficulty Level: Easy

Correct answer: D

Rationale: An ovum bursts from one of a woman's two ovaries and is drawn into one of two fallopian tubes. This is a correct description of the process of ovulation and fertilization in human reproductive anatomy. The ovaries are responsible for producing and releasing eggs, while the fallopian tubes provide a pathway for the egg to travel to the uterus for potential fertilization.

3. Dr. O'Connor wants 90-year-old Mr. Takashi to participate in a research study that involves moderate risks. Mr. Takashi is incapable of consenting. Which statement best expresses your advice regarding Mr. Takashi's participation in the study?

• A. He should not be allowed to participate in the study under any circumstances.
• B. He should be allowed to participate in the study regardless of the benefit.
• C. He should be allowed to participate in the study only if his participation will benefit others.
• D. He should be allowed to participate in the study only if it is likely to benefit him directly.

Correct answer: D

Rationale: Mr. Takashi should be allowed to participate in the study only if it is likely to benefit him directly. This decision aligns with the principle of beneficence in research ethics, which emphasizes maximizing benefits and minimizing risks for research participants. Since Mr. Takashi is incapable of giving consent, his participation should be based on the likelihood of direct benefits to him rather than solely for the benefit of others or solely for research purposes. Option A is too restrictive and does not consider potential benefits to Mr. Takashi. Option B is flawed as it disregards the need for the study to benefit Mr. Takashi. Option C focuses on benefiting others, which is not the primary consideration when the participant cannot give consent.

4. Small-for-date infants __________ than preterm infants.

• A. catch fewer infections during the first year
• B. are less likely to die during the first year
• C. more often show evidence of brain damage
• D. have higher intelligence tests by middle childhood

Correct answer: C

Rationale: Small-for-date infants more often show evidence of brain damage than preterm infants. This can be attributed to factors such as intrauterine growth restriction and poor nutrition during pregnancy, which can affect the development of the baby's brain. Choices A, B, and D are incorrect because there is no evidence to support that small-for-date infants catch fewer infections, are less likely to die, or have higher intelligence tests compared to preterm infants.

5. __________ theory was the first to stress the influence of the early parent‒child relationship on development.

• A. Darwin’s
• B. Freud’s
• C. Erikson’s
• D. Watson’s Answer: B Page Ref: 15 Skill Level: Remember Topic: Mid-Twentieth-Century Theories Difficulty Level: Easy

Correct answer: B

Rationale: Freud's theory was the first to stress the influence of the early parent‒child relationship on development. Sigmund Freud's psychoanalytic theory emphasized the importance of the child's interactions with caregivers, particularly during the early stages of development, in shaping personality and behavior.

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