Nursing Elites

1. What did Ivan Pavlov discover?

• A. observational learning
• B. classical conditioning
• C. the ego's positive contributions to development
• D. the clinical method

Correct answer: B

Rationale: Ivan Pavlov discovered classical conditioning. This is a form of learning in which a neutral stimulus becomes associated with a meaningful stimulus and acquires the capacity to elicit a similar response. Pavlov's famous experiment with dogs, where he conditioned them to salivate at the sound of a bell, demonstrated this principle. Choices A, C, and D are incorrect because Pavlov's work primarily focused on classical conditioning, not observational learning, ego contributions to development, or the clinical method.

2. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

3. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

4. Which factor fosters a more positive, coherent early self-concept?

• A. Permissive parenting
• B. A warm, sensitive parent-child relationship
• C. Authoritarian parenting
• D. Strong identification with an other-sex parent

Correct answer: B

Rationale: A warm, sensitive parent-child relationship is crucial in fostering a positive and coherent early self-concept in children. This type of relationship provides support, security, and emotional guidance, helping children develop a strong sense of self-worth and self-identity. Permissive parenting (Choice A) may lead to confusion and inconsistency in discipline, impacting the child's self-concept negatively. Authoritarian parenting (Choice C), characterized by strict rules and a lack of warmth, can result in a child feeling insecure and having a negative self-concept. Strong identification with an other-sex parent (Choice D) may influence gender identity development but may not directly impact the early self-concept in the same way a warm and sensitive parent-child relationship does.

5. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

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