Nursing Elites

1. According to Erikson, if the psychological conflict of adolescence is resolved negatively, a young person experiences __________.

• A. mistrust
• B. isolation
• C. inferiority
• D. role confusion

Correct answer: D

Rationale: Erikson's theory of psychosocial development states that during adolescence, individuals face the conflict of identity vs. role confusion. If this conflict is resolved negatively, adolescents experience role confusion. Role confusion occurs when adolescents fail to develop a clear sense of identity, leading to uncertainty about their future roles. Choices A, B, and C are incorrect because they correspond to earlier stages of Erikson's stages of psychosocial development (mistrust corresponds to infancy, isolation to early adulthood, and inferiority to middle childhood), not adolescence.

2. How does physical activity impact mental health?

• A. Reduces anxiety and depression
• B. Improves mood, but decreases alertness
• C. Decreases mood, alertness, and energy
• D. Decreases neural activity in the cerebral cortex

Correct answer: A

Rationale: Physical activity is known to have a positive impact on mental health by reducing symptoms of anxiety and depression. Choice B is incorrect because physical activity generally improves both mood and alertness. Choice C is incorrect as physical activity tends to increase mood, alertness, and energy levels. Choice D is incorrect as physical activity actually increases neural activity in the cerebral cortex, which is associated with improved cognitive function and mental well-being.

3. Dr. Rizvi studies the relationship between changes in the brain and the developing person's cognitive processing and behavior patterns. She is part of a group of researchers from the fields of psychology, biology, neuroscience, and medicine. This approach to development is known as __________.

• A. behaviorism
• B. cognitive-development theory
• C. the information-processing approach
• D. developmental cognitive neuroscience

Correct answer: D

Rationale: Dr. Rizvi's approach to development, involving studying the relationship between changes in the brain and cognitive processing and behavior patterns, aligns with developmental cognitive neuroscience. This field combines research from various disciplines to understand how brain development influences cognitive processes and behaviors. Choice A, behaviorism, focuses on observable behaviors influenced by external stimuli. Choice B, cognitive-development theory, emphasizes cognitive growth stages. Choice C, the information-processing approach, centers on how individuals perceive, store, and retrieve information.

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. Which statement about the human immunodeficiency virus (HIV) is true?

• A. About 30 percent of all new HIV infections affect women.
• B. In South Africa, 30 percent of all pregnant women are HIV-positive.
• C. About 30 percent of new HIV infections occur in developing countries.
• D. Untreated HIV-infected mothers pass the virus to the fetus 30 percent of the time.

Correct answer: B

Rationale: The correct answer is B: 'In South Africa, 30 percent of all pregnant women are HIV-positive.' This statement is true as South Africa has a high prevalence of HIV among pregnant women, emphasizing the need for interventions to prevent mother-to-child transmission. Choices A, C, and D are incorrect. Choice A is inaccurate as women account for more than 50% of new HIV infections globally. Choice C is misleading as the majority of new HIV infections actually occur in sub-Saharan Africa, not just developing countries. Choice D is also incorrect as without treatment, the risk of mother-to-child transmission is higher than 30%.

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