Nursing Elites

1. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

2. What reflex protects an infant from strong stimulation?

• A. Moro
• B. eye-blink
• C. sucking
• D. palmar grasp

Correct answer: B

Rationale: The correct answer is B: eye-blink. The eye-blink reflex is the one that protects an infant from strong stimulation by causing them to quickly shut their eyes in response to sudden bright light or a loud noise. This reflex helps to safeguard the infant's sensitive eyes from potential harm. The Moro reflex (choice A) is the startle reflex, the sucking reflex (choice C) helps with feeding, and the palmar grasp reflex (choice D) is when the infant's fingers close around an object placed in their hand; none of these reflexes specifically protect the infant from strong stimulation.

3. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

4. According to operant conditioning theory, __________.

• A. the frequency of a behavior can be increased through punishment, such as disapproval
• B. normal development must be understood in relation to each culture's life situation
• C. the id develops as parents insist that children conform to the values of society
• D. the frequency of a behavior can be increased by following it with a wide variety of reinforcers

Correct answer: D

Rationale: According to operant conditioning theory, the frequency of a behavior can be increased by following it with a wide variety of reinforcers. In operant conditioning, behaviors are shaped through reinforcement, which can be positive (rewarding) or negative (removal of something unpleasant). By providing reinforcement following a behavior, the likelihood of that behavior occurring again in the future is increased. This supports the notion that the frequency of a behavior can be increased by using reinforcers in operant conditioning. Choices A, B, and C are incorrect because operant conditioning focuses on the relationship between behavior and its consequences through reinforcement (positive or negative) to increase the likelihood of the behavior recurring, rather than punishment, cultural influences, or the development of the id based on societal values.

5. When children are research participants, __________.

• A. Investigators need to seek the opinion of others if in doubt about the harmful effects of research.
• B. They have the right to concealment of their identity on information collected in the course of research.
• C. There is a need to inform them or their parents of the results of the research.
• D. Informed consent of their parents as well as others who act on their behalf should be obtained.

Correct answer: D

Rationale: When children are research participants, it is essential to obtain informed consent from their parents or others who act on their behalf. This is to ensure that the child's rights and well-being are protected during the research process. Informed consent is a fundamental ethical principle in research involving children, as they may not have the capacity to fully understand the implications of their participation. Choice A is incorrect because seeking the opinion of others when in doubt about harmful effects is not a substitute for informed consent. Choice B is incorrect because children do not have an absolute right to conceal their identity in research, especially when it comes to ensuring their safety and well-being. Choice C is incorrect as it is important to inform children or their parents about the results of the research to maintain transparency and respect for their participation.

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