Nursing Elites

1. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

2. 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.

3. Which statement about the Nurse-Family Partnership is true?

• A. It is an international program to reduce the risk of teratogens.
• B. One of its goals is to promote competent early caregiving.
• C. It is a series of childbirth classes offered at many U.S. hospitals.
• D. It provides family planning and genetic counseling to couples.

Correct answer: B

Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.

4. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

5. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

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