Nursing Elites

1. Development is best understood as __________.

• A. genetically determined
• B. environmentally influenced
• C. an unsolvable puzzle
• D. a series of complex exchanges between nature and nurture

Correct answer: D

Rationale: The correct answer is D. Development is best understood as a series of complex exchanges between nature (genetic factors) and nurture (environmental influences). This perspective emphasizes the interaction and interplay between genetic predispositions and environmental experiences in shaping an individual's development. Choices A and B are too extreme as they suggest that development is solely determined by genetics or solely influenced by the environment, which is not the case. Choice C is incorrect as development is not viewed as an unsolvable puzzle but rather as a dynamic process influenced by multiple factors.

2. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

3. When Mateo was born prematurely to Yvonne, a cocaine addict, what can his caregivers expect?

• A. He will be very attentive to the environment
• B. His cries will be abnormally shrill and piercing
• C. He will overcome the harmful effects of drug exposure by age 3
• D. His motor development will be especially rapid during the first year

Correct answer: B

Rationale: Mateo, being born prematurely to a cocaine-addicted mother, is at risk for several health issues. One common effect of prenatal drug exposure is a higher likelihood of sensory and regulatory problems, such as having abnormally shrill and piercing cries. This is a potential outcome that Mateo's caregivers can expect due to his circumstances. Choice A is incorrect as there is no direct correlation between being born prematurely to a cocaine-addicted mother and being very attentive to the environment. Choice C is incorrect as overcoming harmful effects of drug exposure by age 3 is overly optimistic and may not be the case for all children exposed to drugs prenatally. Choice D is incorrect as rapid motor development is not typically associated with prenatal drug exposure.

4. What is one limitation of the ethnographic method?

• A. Investigators' cultural values sometimes lead them to misinterpret what they see.
• B. It provides little information on how children and adults actually behave.
• C. It relies on unobtrusive techniques, such as surveillance cameras and one-way mirrors.
• D. It provides little information about the reasoning behind participants' responses.

Correct answer: A

Rationale: The limitation of the ethnographic method is that investigators' cultural values sometimes lead them to misinterpret what they see. This can introduce bias into the observations and potentially impact the accuracy of the findings. It is important for researchers to be aware of their own biases and strive to minimize their influence when conducting ethnographic studies. Choice B is incorrect because ethnographic methods actually aim to provide rich information on how individuals behave within their cultural contexts. Choice C is incorrect as ethnographic methods typically involve direct observation and participation rather than unobtrusive techniques like surveillance cameras. Choice D is incorrect because one of the strengths of ethnographic research is its ability to uncover the reasoning behind participants' responses by immersing the researcher in the cultural setting.

5. A major limitation of systematic observation is that it __________.

• A. provides little information on how participants actually behave
• B. tells investigators little about the reasoning behind responses and behaviors
• C. underestimates the capacities of individuals who have difficulty putting their thoughts into words
• D. ignores participants with poor memories, who may have trouble recalling exactly what happened

Correct answer: B

Rationale: A major limitation of systematic observation is that it tells investigators little about the reasoning behind responses and behaviors. Systematic observation focuses more on recording observable behaviors rather than delving into the underlying reasons or thought processes driving those behaviors. Choices A, C, and D are incorrect because systematic observation can indeed provide detailed information on how participants actually behave, it doesn't necessarily underestimate the capacities of individuals who struggle with verbal expression, and it doesn't solely ignore participants with poor memories as it can capture behavior in real-time regardless of memory recall.

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