Nursing Elites

1. Ecological systems theory views the person as __________.

• A. a blossoming flower whose development is a genetically determined series of events that unfold automatically
• B. developing within a complex system of relationships affected by multiple levels of the surrounding environment
• C. a social being influenced primarily by observational learning or adult modeling
• D. a computer-like system that actively codes, transforms, and organizes information

Correct answer: B

Rationale: Ecological systems theory views the person as developing within a complex system of relationships affected by multiple levels of the surrounding environment. This perspective emphasizes the interconnectedness of individuals with their social and physical environment, recognizing that development is influenced by various factors interacting at different levels of the ecological system. Choice A is incorrect because it describes a genetically determined development process, which is not the focus of ecological systems theory. Choice C is incorrect because it highlights observational learning as the primary influence on development, neglecting the broader environmental factors. Choice D is incorrect as it compares the person to a computer system, which does not align with the principles of ecological systems theory.

2. When faced with a problem, Sydney starts with a hypothesis, deduces testable inferences, and isolates and combines variables to see which inferences are confirmed. Sydney is in Piaget's __________ stage of development.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: D

Rationale: Sydney's approach of starting with a hypothesis, deducing testable inferences, and isolating and combining variables to confirm inferences aligns with the characteristics of the formal operational stage in Piaget's theory of cognitive development. This stage typically emerges during adolescence and is characterized by advanced logical thinking, abstract reasoning, and the ability to think systematically about all possible outcomes of a problem. Choice A, sensorimotor, is incorrect as it pertains to the stage where infants learn through sensory experiences and motor actions. Choice B, preoperational, is incorrect as it involves egocentrism and lack of conservation. Choice C, concrete operational, is incorrect as it focuses on operational thought and logical reasoning in concrete contexts.

3. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

4. 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.

5. Why do young infants usually cry?

• A. because they are bored
• B. in shrill, piercing tones
• C. because of physical needs
• D. all night long

Correct answer: C

Rationale: Young infants usually cry because of physical needs such as hunger, discomfort, or needing to be changed. It is their way of communicating these needs to their caregivers as they are unable to do so in any other way. Choice A is incorrect because infants cry primarily to communicate physical needs, not because they are bored. Choice B is incorrect because the tone of the cry is not the reason why infants cry. Choice D is incorrect because infants cry for various physical needs, not necessarily all night long.

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