Nursing Elites

1. According to psychosexual theory, what is crucial for healthy personality development?

• A. Children actively construct knowledge as they manipulate and explore the world.
• B. Directly observable events are the appropriate focus of psychological study.
• C. How parents manage their child's sexual and aggressive drives in the first few years.
• D. The ego makes a positive contribution to development, acquiring attitudes and skills.

Correct answer: C

Rationale: According to psychosexual theory, developed by Sigmund Freud, how parents manage their child's sexual and aggressive drives in the first few years is crucial for healthy personality development. This theory suggests that personality development is heavily influenced by a child's experiences during early stages of development, particularly related to handling sexual and aggressive impulses. Choices A, B, and D are incorrect as they do not align with the core principles of psychosexual theory, which focuses on the importance of early childhood experiences, especially in the context of sexual and aggressive drives.

2. As school-age children move into adolescence, self-concept is increasingly vested in feedback from __________.

• A. close friends
• B. family members
• C. younger children
• D. the inner self

Correct answer: A

Rationale: During adolescence, individuals start to rely more on feedback from close friends to develop their self-concept. Close friends play a significant role during this transitional period as they provide peer validation, support, and influence. Family members, although important, may not hold the same level of influence on self-concept during adolescence as close friends do. Younger children are unlikely to provide the necessary feedback and validation needed during this developmental stage. While self-reflection and understanding the inner self are vital for personal growth, during adolescence, external feedback from close friends tends to have a more pronounced impact on shaping self-concept.

3. At Kohlberg's Stage __________, individuals can imagine alternatives to their own social order, and they emphasize fair procedures for interpreting and changing the law.

• A. 3, the 'good boy/good girl' orientation
• B. 4, the social-order-maintaining orientation
• C. 5, the social contract orientation
• D. 6, the universal ethical principle orientation

Correct answer: C

Rationale: The correct answer is C: '5, the social contract orientation.' At Kohlberg's Stage 5, individuals begin to question their own social order and focus on principles of justice and fairness. This stage emphasizes the importance of social contracts and agreements based on mutual benefit. Choice A is incorrect as the 'good boy/good girl' orientation is characteristic of Stage 3. Choice B, the social-order-maintaining orientation, does not align with the description provided in the question. Choice D, the universal ethical principle orientation, is associated with Stage 6, where individuals act based on self-chosen ethical principles.

4. Which of the following is the best available predictor of infant survival and healthy development?

• A. Birth length
• B. Combined Apgar score
• C. Delivery date
• D. Birth weight

Correct answer: D

Rationale: The correct answer is 'Birth weight.' Birth weight is a crucial indicator of an infant's chances of survival and well-being. Low birth weight is associated with various health risks and developmental challenges. Birth length (choice A) is not as significant in predicting infant outcomes as birth weight. The Combined Apgar score (choice B) is a measure of the newborn's health status at birth, not a predictor of long-term survival and development. Delivery date (choice C) is important for determining gestational age but is not as directly related to infant survival and healthy development as birth weight.

5. During the second trimester, a white, cheeselike substance called __________ emerges on the skin.

• A. lanugo
• B. corpus luteum
• C. vernix
• D. chorion

Correct answer: C

Rationale: During the second trimester of pregnancy, a white, cheeselike substance called vernix emerges on the skin of the developing fetus. Vernix is a protective layer that helps prevent the skin from becoming waterlogged during the time in the amniotic fluid. Choice A, lanugo, is incorrect as lanugo refers to the fine, soft hair that covers the body of a fetus. Choice B, corpus luteum, is incorrect as it is a temporary endocrine structure involved in the menstrual cycle. Choice D, chorion, is incorrect as it is one of the membranes that surround the embryo and later the fetus.

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