Nursing Elites

1. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

2. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.

• A. intimacy
• B. ego identity
• C. ego integrity
• D. initiative

Correct answer: C

Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.

3. What advice can you offer parents who want to reduce their newborn son’s discomfort during circumcision?

• A. Stimulate the Babinski reflex.
• B. Play loud music to distract the baby.
• C. Offer a sugar solution while gently holding the baby.
• D. Newborns have a low sensitivity to pain, so interventions are unnecessary. Answer: C Page Ref: 108 Skill Level: Apply Topic: The Newborn Baby’s Capacities Copyright © 2018 Laura E. Berk. All Rights Reserved. 35 Test Bank for Berk, Development Through the Lifespan, 7e Difficulty Level: Difficult

Correct answer: C

Rationale: Offering a sugar solution while gently holding the baby can help reduce the newborn's discomfort during circumcision. This method has been found to effectively decrease pain perception and can provide some comfort to the baby during the procedure. Stimulating the Babinski reflex, playing loud music to distract the baby, and assuming newborns have low sensitivity to pain are not recommended strategies for reducing discomfort during circumcision.

4. Like Piaget's theory, the information-processing approach __________.

• A. divides development into stages
• B. views development as discontinuous
• C. regards people as actively making sense of their own thinking
• D. has much to say about nonlinear cognition, such as imagination and creativity

Correct answer: C

Rationale: The correct answer is C: 'regards people as actively making sense of their own thinking.' The information-processing approach, similar to Piaget's theory, focuses on how individuals actively process information, encode it, store it, and retrieve it to understand the world around them. Choices A and B are incorrect because the information-processing approach does not necessarily divide development into stages or view development as discontinuous. Choice D is incorrect because the information-processing approach is more concerned with cognitive processes like encoding, storage, and retrieval, rather than nonlinear cognition such as imagination and creativity.

5. Low-level radiation, resulting from industrial leakage or medical X-rays, __________.

• A. is harmful only when combined with other teratogens
• B. can increase the risk of childhood cancer
• C. rarely causes lasting damage
• D. is safe during the last trimester

Correct answer: B

Rationale: Low-level radiation, whether from industrial leakage or medical X-rays, can increase the risk of childhood cancer by potentially damaging the developing fetus's cells. Even though the risk is relatively low, it is still a significant concern that should be acknowledged and monitored closely, especially during prenatal development. Choice A is incorrect as low-level radiation can still be harmful on its own without the need to be combined with other teratogens. Choice C is incorrect because low-level radiation exposure can indeed cause lasting damage, especially in the context of childhood cancer risk. Choice D is incorrect because low-level radiation exposure, even during the last trimester, can pose risks to the developing fetus and is not considered entirely safe.

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