Nursing Elites

1. In the 5th substage of sensorimotor development, what does Piaget refer to as 'experimentation,' where the infant tries out new ways of playing with or manipulating objects?

• A. Short-term memory
• B. Working memory
• C. Core memories
• D. Long-term memory

Correct answer: D

Rationale: The correct answer is D, 'Long-term memory.' In the 5th substage of sensorimotor development, Piaget refers to 'experimentation' as tertiary circular reactions, where the infant tries out new ways of playing with or manipulating objects. This stage involves exploring and testing different ways of interacting with the world to understand cause and effect relationships. Choices A, B, and C are incorrect as they do not align with Piaget's concept of tertiary circular reactions and experimentation in the sensorimotor stage of development.

2. How does genetic predisposition influence mental health?

• A. Genetic predisposition guarantees the development of mental disorders.
• B. Genetic predisposition plays a role but is not the sole determinant of mental health.
• C. Genetic predisposition does not influence mental health.
• D. Genetic predisposition determines mental health without exception.

Correct answer: B

Rationale: Genetic predisposition indeed plays a significant role in influencing mental health by increasing the risk of developing certain disorders. However, it is crucial to note that it is not the sole determinant. Mental health is also influenced by various environmental factors, lifestyle choices, and individual experiences. Option A is incorrect because genetic predisposition does not guarantee the development of mental disorders; it only predisposes individuals to a higher risk. Option C is incorrect as genetic predisposition does have an influence on mental health. Option D is incorrect because mental health is a complex interplay of genetic, environmental, and other factors.

3. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

4. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

5. Which therapy style requires the therapist to actively confront a client's irrational beliefs?

• A. Person-centered therapy
• B. Psychodynamic psychotherapy
• C. Electroconvulsive therapy
• D. REBT

Correct answer: D

Rationale: The correct answer is D, REBT (Rational Emotive Behavior Therapy). REBT involves actively confronting and changing irrational beliefs. Choice A, Person-centered therapy, is focused on providing a supportive and empathetic environment rather than confronting irrational beliefs. Choice B, Psychodynamic psychotherapy, emphasizes exploring unconscious processes and early life experiences rather than direct confrontation of irrational beliefs. Choice C, Electroconvulsive therapy, is a biological treatment for severe depression and other mental illnesses, not a therapy style that involves confronting irrational beliefs.

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