Nursing Elites

1. By age 2, children __________.

• A. take turns in face-to-face interaction
• B. can infer a speaker's indirectly expressed intention
• C. adjust their speech to fit the age of their listeners
• D. adjust their speech to fit the social status of their listeners

Correct answer: C

Rationale: By age 2, children are capable of adjusting their speech to fit the age of their listeners, showing early social cognition. Choice A is incorrect because taking turns in face-to-face interaction typically develops later in childhood. Choice B is incorrect as the ability to infer a speaker's indirectly expressed intention is a more advanced skill not typically seen at age 2. Choice D is also incorrect as children at age 2 are not developmentally ready to adjust their speech based on the social status of their listeners.

2. Who is generally regarded as the founder of the child study movement?

• A. Arnold Gesell was among the first to write child-rearing books for parents
• B. Arnold Gesell is generally regarded as the founder of the child study movement
• C. Arnold Gesell foreshadowed lifespan research by writing a book on aging
• D. Arnold Gesell constructed the first successful intelligence test

Correct answer: B

Rationale: Arnold Gesell is generally regarded as the founder of the child study movement, emphasizing the importance of observing and documenting children's behaviors to understand their development. While he was a significant figure in child development research, he did not specifically write child-rearing books for parents, foreshadow lifespan research, or construct the first successful intelligence test. Choice A is incorrect as Gesell's focus was more on research rather than writing child-rearing books. Choice C is incorrect as Gesell's main contributions were in child development, not specifically in aging research. Choice D is incorrect as Gesell is not credited with constructing the first successful intelligence test.

3. During Irina's first week of pregnancy, __________.

• A. heart muscles begin to develop
• B. the zygote multiplies and forms a blastocyst
• C. a primitive brain and spinal cord appear
• D. the embryo can move

Correct answer: B

Rationale: During the first week of pregnancy, the zygote (fertilized egg) undergoes rapid cell divisions and forms a blastocyst. This is a crucial stage where the cells differentiate and specialize, setting the foundation for the development of the embryo. It is during this time that the zygote implants itself into the uterine wall, initiating the process of pregnancy. Choices A, C, and D are incorrect because during the first week of pregnancy, the focus is on the initial development and multiplication of the zygote, not on the development of heart muscles, a primitive brain and spinal cord, or the embryo's ability to move.

4. The effects of stress on the developing organism can be greatly reduced if the expectant mother __________.

• A. has access to social support during stressful periods
• B. takes a low dose of anti-anxiety medication
• C. takes a folic acid supplement early in pregnancy
• D. is placed on bed rest during the last trimester

Correct answer: A

Rationale: Having access to social support during stressful periods can greatly reduce the effects of stress on the developing organism. Social support can provide emotional comfort, practical assistance, and a sense of belonging, which can help the expectant mother cope with stress more effectively. This support system can also help mitigate the negative impact of stress on the developing baby during pregnancy. Choices B, C, and D are incorrect because while folic acid is important for prenatal health, it does not directly address the effects of stress. Taking anti-anxiety medication should be done under medical supervision and as a last resort due to potential risks to the developing baby. Bed rest during the last trimester is not a solution to reduce the effects of stress and may not address the underlying causes of stress.

5. 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.

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