Nursing Elites

1. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

2. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?

• A. Authoritarian
• B. Permissive/indulgent
• C. Authoritative
• D. Neglectful/uninvolved

Correct answer: D

Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.

3. What is the sequence in which growth starts at the center of the body and moves toward the extremities?

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. This pattern describes growth starting at the center of the body and moving towards the extremities. Choice A, Cephalocaudal pattern, refers to growth starting from the head and moving downwards, which is not the sequence described in the question. Choice D, Gene-environment correlation, does not relate to the sequential pattern of growth described in the question, making it incorrect.

4. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

5. What is the biopsychosocial model, and why is it important?

• A. A model that integrates biological, psychological, and social factors.
• B. A model that focuses solely on biological factors.
• C. A model that excludes social factors.
• D. A model that focuses solely on psychological factors.

Correct answer: A

Rationale: The biopsychosocial model is a model that integrates biological, psychological, and social factors. It is important because it recognizes the interconnectedness of these factors in influencing an individual's mental health. Option B is incorrect because the biopsychosocial model does not focus solely on biological factors. Option C is incorrect as the model does not exclude social factors. Option D is incorrect as the model does not focus solely on psychological factors.

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