Nursing Elites

1. According to Erikson, the major personality attainment of adolescence is __________.

• A. trust
• B. identity
• C. autonomy
• D. intimacy

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, the major personality attainment of adolescence is identity. During adolescence, individuals go through a stage called 'Identity vs. Role Confusion,' where they explore different roles and develop a sense of self. Trust (choice A) is associated with the first stage of Erikson's theory, autonomy (choice C) is linked to the toddler stage, and intimacy (choice D) is a key aspect of the young adulthood stage.

2. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

3. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

4. The more alcohol a woman consumes during pregnancy, the __________.

• A. higher the birth weight of the child
• B. greater the likelihood of ARND instead of FAS or p-FAS
• C. poorer the child's achievement scores in the school years
• D. greater the child's speed of information processing

Correct answer: C

Rationale: The correct answer is C: 'poorer the child's achievement scores in the school years.' Prenatal exposure to alcohol has been linked to a range of cognitive and behavioral difficulties, including lower academic achievement in children. These difficulties may manifest as poor achievement scores in later school years. Choices A, B, and D are incorrect because alcohol consumption during pregnancy is not associated with higher birth weight of the child, the likelihood of ARND instead of FAS or p-FAS, or greater speed of information processing in the child.

5. Many theorists believe that behaviorism and social learning theory ________.

• A. overemphasize the plasticity of cognitive development
• B. overestimate people's contributions to their own development
• C. offer too narrow a view of important environmental influences
• D. overemphasize each individual's unique life history

Correct answer: C

Rationale: Many theorists believe that behaviorism and social learning theory offer too narrow a view of important environmental influences. This is because they focus mainly on observable behaviors and external factors, neglecting the role of internal cognitive processes and individual differences in shaping development. Choices A, B, and D are incorrect because behaviorism and social learning theory do not specifically emphasize the plasticity of cognitive development, overestimate people's contributions to their own development, or overemphasize each individual's unique life history. Instead, they are criticized for providing a limited perspective by focusing predominantly on external stimuli and behaviors.

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