Nursing Elites

1. Like Piaget's theory, the information-processing approach __________.

• A. divides development into stages
• B. views development as discontinuous
• C. regards people as actively making sense of their own thinking
• D. has much to say about nonlinear cognition, such as imagination and creativity

Correct answer: C

Rationale: The correct answer is C: 'regards people as actively making sense of their own thinking.' The information-processing approach, similar to Piaget's theory, focuses on how individuals actively process information, encode it, store it, and retrieve it to understand the world around them. Choices A and B are incorrect because the information-processing approach does not necessarily divide development into stages or view development as discontinuous. Choice D is incorrect because the information-processing approach is more concerned with cognitive processes like encoding, storage, and retrieval, rather than nonlinear cognition such as imagination and creativity.

2. Small-for-date infants __________ than preterm infants.

• A. catch fewer infections during the first year
• B. are less likely to die during the first year
• C. more often show evidence of brain damage
• D. have higher intelligence tests by middle childhood

Correct answer: C

Rationale: Small-for-date infants more often show evidence of brain damage than preterm infants. This can be attributed to factors such as intrauterine growth restriction and poor nutrition during pregnancy, which can affect the development of the baby's brain. Choices A, B, and D are incorrect because there is no evidence to support that small-for-date infants catch fewer infections, are less likely to die, or have higher intelligence tests compared to preterm infants.

3. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

4. Currently, the most widely used potent teratogen is __________.

• A. aspirin
• B. diethylstilbestrol (DES)
• C. thalidomide
• D. isotretinoin

Correct answer: D

Rationale: The correct answer is D, isotretinoin. Isotretinoin is a medication commonly used to treat severe acne, but it is a potent teratogen, meaning it can cause severe birth defects if taken during pregnancy. Aspirin (choice A) is not a widely used potent teratogen. Diethylstilbestrol (DES) (choice B) was a known teratogen, but it is not currently widely used. Thalidomide (choice C) was another historical teratogen, but it is also not currently widely used. Therefore, isotretinoin is the most relevant answer as it is a commonly used medication that poses a high risk of birth defects if used during pregnancy.

5. What are the most obvious organized patterns of behavior in a newborn baby?

• A. Reflexes
• B. States of arousal
• C. Shrill cries
• D. Sleep patterns

Correct answer: A

Rationale: The correct answer is A: Reflexes. Reflexes are automatic, involuntary responses to specific stimuli and are the most obvious organized patterns of behavior in a newborn baby. Examples of newborn reflexes include sucking, rooting, grasping, and the Moro reflex. These reflexes are crucial for the newborn's survival and overall development. Choice B, states of arousal, refers to different levels of consciousness and responsiveness, not organized behavior patterns. Choice C, shrill cries, is a form of communication and not an organized behavior pattern. Choice D, sleep patterns, while important for newborns, are not the most obvious organized behavior patterns.

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