Nursing Elites

1. Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had __________.

• A. taught women to fear the birth experience
• B. helped women develop breathing techniques to lessen the pain of labor
• C. taught women that medical intervention was unnecessary in childbirth
• D. helped women focus on child rearing rather than childbirth

Correct answer: A

Rationale: Natural childbirth experts Grantly Dick-Read and Fernand Lamaze recognized that cultural attitudes about childbirth had taught women to fear the birth experience. They believed that this fear contributed to increased pain during labor and advocated for methods to reduce fear and promote relaxation during childbirth. Choice B is incorrect as the focus is on fear, not on techniques to lessen pain. Choice C is incorrect as the experts did not advocate against medical intervention but rather against unnecessary fear. Choice D is incorrect as the experts aimed to change attitudes towards childbirth, not redirect focus to child rearing.

2. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

3. When Reggie takes his baby son, Tyson, to his workplace for the first time, Reggie's assistant abruptly picks Tyson up and walks around the office. Tyson cries and reaches out for Reggie. Tyson is expressing __________.

• A. sadness
• B. stranger anxiety
• C. separation anxiety
• D. disgust

Correct answer: B

Rationale: Tyson is experiencing stranger anxiety in this situation. Stranger anxiety is a common response in infants when they are exposed to unfamiliar people, causing distress and prompting the infant to seek comfort and familiarity, usually from their primary caregiver. This aligns with Tyson crying and reaching out for Reggie, as he is showing signs of discomfort and wariness towards the assistant, who is a stranger to him. Choice A, sadness, does not fit the scenario as Tyson's reaction is more related to fear and discomfort rather than sorrow. Choice C, separation anxiety, is not the correct answer in this context as separation anxiety pertains to distress when separated from a primary caregiver, not when encountering unfamiliar individuals. Choice D, disgust, is also not applicable as Tyson's behavior is not based on revulsion but rather on being in an unfamiliar and distressing situation.

4. Konrad Lorenz and Niko Tinbergen laid the modern foundations for __________.

• A. ethology
• B. social learning theory
• C. psychoanalytic theory
• D. cognitive-developmental theory

Correct answer: A

Rationale: Konrad Lorenz and Niko Tinbergen are considered the founders of ethology, a branch of biology and psychology that focuses on the study of animal behavior in natural environments. Their work laid the modern foundations for ethology, which examines the behavior of animals in relation to their natural habitats and evolutionary history. Choice B, social learning theory, is incorrect as it pertains to a different area of psychology that focuses on how people learn through observing others. Choice C, psychoanalytic theory, is also incorrect as it is a psychological theory developed by Sigmund Freud that emphasizes the role of unconscious conflicts in determining behavior. Choice D, cognitive-developmental theory, is incorrect as it refers to the work of Jean Piaget in understanding the development of human cognition in children.

5. 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.

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