Nursing Elites

1. Central to Piaget's theory is the concept of __________.

• A. imitation
• B. adaptation
• C. self-efficacy
• D. scaffolding

Correct answer: B

Rationale: Central to Piaget's theory is the concept of adaptation, which refers to the process by which individuals adjust to new information and experiences by modifying their existing cognitive structures. Piaget believed that this process of adaptation involved two key components: assimilation, where individuals incorporate new information into their existing schemas, and accommodation, where individuals adjust their schemas to fit new information. This concept highlights the dynamic nature of cognitive development and the importance of interaction between individuals and their environment in shaping intellectual growth. Choice A, 'imitation,' is incorrect as Piaget's theory focuses on how individuals actively construct their understanding of the world through their interactions with it, rather than simply imitating others. Choice C, 'self-efficacy,' is not the central concept in Piaget's theory; self-efficacy is a concept from Bandura's social cognitive theory. Choice D, 'scaffolding,' is associated with Vygotsky's sociocultural theory, not Piaget's theory.

2. In an investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early __________ than children who experienced a full-length prenatal period.

• A. showed lower reading and math scores at a third-grade follow-up
• B. were less likely to suffer from childhood obesity
• C. were less likely to suffer from neurological impairments
• D. showed higher language and social/emotional scores in early childhood

Correct answer: A

Rationale: In the investigation of over 120,000 New York City births, babies born even 1 to 2 weeks early showed lower reading and math scores at a third-grade follow-up compared to children who experienced a full-length prenatal period. This suggests that being born slightly premature can have an impact on cognitive development, leading to educational challenges later on. Choices B, C, and D are incorrect because the study specifically highlighted lower reading and math scores, not a reduced likelihood of suffering from childhood obesity or neurological impairments, or improved language and social/emotional scores in early childhood.

3. Dr. O'Connor wants 90-year-old Mr. Takashi to participate in a research study that involves moderate risks. Mr. Takashi is incapable of consenting. Which statement best expresses your advice regarding Mr. Takashi's participation in the study?

• A. He should not be allowed to participate in the study under any circumstances.
• B. He should be allowed to participate in the study regardless of the benefit.
• C. He should be allowed to participate in the study only if his participation will benefit others.
• D. He should be allowed to participate in the study only if it is likely to benefit him directly.

Correct answer: D

Rationale: Mr. Takashi should be allowed to participate in the study only if it is likely to benefit him directly. This decision aligns with the principle of beneficence in research ethics, which emphasizes maximizing benefits and minimizing risks for research participants. Since Mr. Takashi is incapable of giving consent, his participation should be based on the likelihood of direct benefits to him rather than solely for the benefit of others or solely for research purposes. Option A is too restrictive and does not consider potential benefits to Mr. Takashi. Option B is flawed as it disregards the need for the study to benefit Mr. Takashi. Option C focuses on benefiting others, which is not the primary consideration when the participant cannot give consent.

4. Although Justin spent his first 18 months in an orphanage, his adoptive mother believes that sensitive caregiving will help Justin overcome his early experiences. Justin's mother emphasizes the role of __________ in development.

• A. nurture
• B. stages
• C. stability
• D. nature

Correct answer: A

Rationale: The correct answer is A, nurture. Nurture refers to the environmental influences that shape behavior and development. In this scenario, Justin's adoptive mother believes that providing sensitive caregiving will override the negative effects of his early experiences in the orphanage, highlighting the importance of nurture in promoting healthy development. Choice B, stages, is incorrect as it refers to the sequence of developmental milestones individuals pass through. Choice C, stability, is incorrect as it pertains to the consistency of behavior or development over time. Choice D, nature, is incorrect as it relates to genetic and biological factors influencing development, which is not the focus of Justin's mother's beliefs.

5. Lillian uses flowcharts to map the precise steps individuals use to solve problems and complete tasks. Lillian is a(n) __________ theorist.

• A. psychoanalytic
• B. information-processing
• C. psychosocial
• D. social learning Answer: B Page Ref: 19 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Moderate

Correct answer: B

Rationale: Lillian, who uses flowcharts to map precise steps individuals use to solve problems and complete tasks, is likely an information-processing theorist. Information-processing theorists focus on how people take in, store, and retrieve information to solve problems and make decisions, which aligns with Lillian's use of flowcharts to map out problem-solving steps.

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