Nursing Elites

1. Dr. Whiren studies how culture is transmitted to the next generation. Dr. Whiren’s research best aligns with the perspective of which theorist?

• A. Jean Piaget
• B. John Bowlby
• C. Lev Vygotsky
• D. Erik Erikson Answer: C Page Ref: 22 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Difficult

Correct answer: C

Rationale: Dr. Whiren's study on how culture is transmitted to the next generation aligns best with the perspective of Lev Vygotsky. Vygotsky was a developmental psychologist who emphasized the importance of social interactions and cultural influences in shaping cognitive development. He believed that children learn through interactions with others and that culture plays a significant role in this learning process.

2. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

3. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

4. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

5. What is the goal of applied behavior analysis?

• A. outline changes in temperament over the lifespan
• B. eliminate undesirable behaviors and increase desirable responses
• C. examine how we think about ourselves and other people
• D. synthesize information from various sources into a detailed picture of a person's personality

Correct answer: B

Rationale: The correct answer is B: "eliminate undesirable behaviors and increase desirable responses." Applied behavior analysis aims to modify behavior by focusing on eliminating unwanted behaviors and reinforcing desirable ones. It does not primarily deal with changes in temperament (choice A), self-perception (choice C), or personality traits (choice D). The approach involves techniques such as reinforcement to target specific behaviors, rather than broader cognitive processes or personality characteristics.

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