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. According to Erikson, when parents are over- or undercontrolling, the outcome is a child who __________.

• A. feels forced and shamed
• B. acts competently on his own
• C. asserts his independence
• D. feels self-confident

Correct answer: A

Rationale: According to Erikson, when parents are over- or undercontrolling, the outcome is a child who feels forced and shamed. This is because overly controlling parents can make the child feel inadequate, leading to a sense of shame and doubt. Choice B, 'acts competently on his own,' is incorrect because overcontrolling parents hinder the child's ability to act independently. Choice C, 'asserts his independence,' is incorrect because overcontrolling parents can actually suppress the child's independence. Choice D, 'feels self-confident,' is incorrect because overcontrolling parenting can undermine the child's confidence and lead to feelings of inadequacy.

3. How does physical activity impact mental health?

• A. Reduces anxiety and depression
• B. Improves mood, but decreases alertness
• C. Decreases mood, alertness, and energy
• D. Decreases neural activity in the cerebral cortex

Correct answer: A

Rationale: Physical activity is known to have a positive impact on mental health by reducing symptoms of anxiety and depression. Choice B is incorrect because physical activity generally improves both mood and alertness. Choice C is incorrect as physical activity tends to increase mood, alertness, and energy levels. Choice D is incorrect as physical activity actually increases neural activity in the cerebral cortex, which is associated with improved cognitive function and mental well-being.

4. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

5. To avoid exposure to toxoplasmosis, Kaye should ask other family members to __________.

• A. stop smoking
• B. pick up after the dog
• C. change the litter box
• D. feed the fish

Correct answer: C

Rationale: To avoid exposure to toxoplasmosis, Kaye should ask other family members to change the litter box. Toxoplasmosis is a parasitic infection that can be transmitted through cat feces, so it is important for pregnant women to avoid handling cat litter to reduce the risk of infection. Choices A, B, and D are incorrect because they are not directly related to preventing toxoplasmosis. Smoking cessation is important for overall health but not specifically to prevent toxoplasmosis. Picking up after the dog and feeding the fish are not relevant to preventing toxoplasmosis, as the infection is primarily associated with cat feces.

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