Nursing Elites

1. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

• A. Secure
• B. Avoidant
• C. Ambivalent
• D. Disorganized

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

2. In order to develop chicken pox, one must be exposed to the virus that causes chicken pox. Note, however, that not everyone who is exposed to the virus is affected. In other words, the virus is a ________

• A. risk factor.
• B. necessary cause.
• C. sufficient cause.
• D. contributory cause.

Correct answer: B

Rationale: The correct answer is B: 'necessary cause.' A necessary cause must be present for a disorder to occur. In the context of developing chicken pox, being exposed to the virus is a necessary condition for contracting the disease. Choices A, C, and D are incorrect. A 'risk factor' increases the probability of developing a disease but is not essential for its occurrence. A 'sufficient cause' can produce the outcome on its own, which is not the case with exposure to the chicken pox virus. A 'contributory cause' adds to other causes to produce an effect, but in this scenario, exposure to the virus is crucial by itself.

3. In a breech presentation, how is the infant positioned for delivery?

• A. Is too large to be delivered vaginally.
• B. Is delivered feet or bottom first.
• C. Is delivered head first.
• D. Appears face down.

Correct answer: B

Rationale: In a breech presentation, the infant is positioned to be delivered feet or bottom first. This is because the baby's pelvis or feet enter the birth canal before the head. Therefore, choice B is correct. Choices A, C, and D are incorrect because a breech presentation specifically refers to the baby being positioned feet or bottom first, not head first, face down, or being too large for vaginal delivery.

4. Neural plasticity is ________.

• A. the process by which neurotransmitters are broken down in the brain.
• B. the flexibility of the brain—existing neural circuits can change or new ones can be made.
• C. strong evidence of brain damage, leading to the development of a mental disorder.
• D. the best indicator of temperament and its effect on the personality development of a child.

Correct answer: B

Rationale: Neural plasticity refers to the brain's flexibility to change existing neural circuits or create new ones. Choice A is incorrect as it describes neurotransmitter breakdown, not neural plasticity. Choice C is incorrect because neural plasticity does not necessarily indicate brain damage leading to mental disorders. Choice D is incorrect because neural plasticity is not specifically related to temperament or personality development in children.

5. Which neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

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