Nursing Elites

1. Piaget's _________ stage is the most complex period of development.

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

Correct answer: D

Rationale: The formal operational stage in Piaget's theory is characterized by abstract reasoning, hypothetical thinking, and logical reasoning. This stage represents the most complex period of cognitive development according to Piaget. Choices A, B, and C refer to earlier stages in Piaget's theory and do not involve the level of abstract thinking and logical reasoning seen in the formal operational stage.

2. In a longitudinal design, participants are studied repeatedly at different ages, and changes are noted as they get older.

• A. cross-sectional
• B. experimental
• C. longitudinal
• D. correlational

Correct answer: C

Rationale: The correct answer is C: longitudinal. In a longitudinal design, participants are followed and studied over an extended period, allowing researchers to observe changes and continuity in development as individuals age. This design is crucial for understanding how individuals grow and change over time. Cross-sectional studies (Choice A) involve comparing different groups at the same time point, while experimental studies (Choice B) involve manipulating variables to observe their effects. Correlational studies (Choice D) examine relationships between variables but do not involve studying participants over time.

3. Heaven was born several weeks before her due date. Although she was small, her birth weight was appropriate, based on time spent in the uterus. Heaven is a __________ infant.

• A. small-for-date
• B. small-for-weight
• C. mature
• D. preterm

Correct answer: D

Rationale: Heaven is a preterm infant because she was born early, but her weight is appropriate for the time she spent in the womb. Choice A, 'small-for-date,' is incorrect as it does not specifically indicate that the infant was born before the due date. Choice B, 'small-for-weight,' is incorrect because the infant's weight is appropriate for the gestational age. Choice C, 'mature,' is incorrect as it does not reflect the early birth of the infant.

4. Despite growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father, Betty is a successful, happy, and healthy adult. Betty's ability to adapt effectively in the face of threats to development is known as __________.

• A. assimilation
• B. resilience
• C. age-graded development
• D. multidimensional development

Correct answer: B

Rationale: Betty's ability to adapt effectively despite facing challenges during her childhood such as growing up in a rundown neighborhood, having divorced parents, and rarely seeing her father demonstrates resilience. Resilience refers to the capacity to achieve positive outcomes despite adverse circumstances. Betty's successful, happy, and healthy adulthood showcases her resilience in navigating and overcoming the threats to her development. Choice A, assimilation, does not fit the context of adapting effectively to adverse circumstances. Assimilation is a cognitive process related to incorporating new information into existing schemas. Choice C, age-graded development, refers to typical developmental changes that occur in a culture at a particular age. Choice D, multidimensional development, encompasses the idea that development is influenced by multiple factors across various dimensions, which is not directly related to Betty's ability to adapt effectively despite facing challenges.

5. In developing countries, the most readily available intervention for promoting the recovery of preterm babies is _________.

• A. hospitalization
• B. care in an isolette
• C. lying on a waterbed
• D. skin-to-skin 'kangaroo care'

Correct answer: D

Rationale: In developing countries, the most readily available intervention for promoting the recovery of preterm babies is skin-to-skin 'kangaroo care.' This involves direct skin-to-skin contact between the baby and a caregiver, typically the mother, which helps regulate the baby's body temperature, improve bonding, and support overall development. Kangaroo care can be easily implemented even in resource-limited settings and has been shown to have positive effects on preterm infants' health outcomes. Choices A, B, and C are incorrect because hospitalization, care in an isolette, and lying on a waterbed are not specifically tailored interventions that address the unique needs of preterm babies in developing countries like kangaroo care does.

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