Nursing Elites

1. Sigmund Freud constructed his psychosexual theory __________.

• A. on the basis of his adult patients' memories of painful childhood events
• B. by conducting studies of animal behavior
• C. on the basis of interviews with institutionalized children and adolescents
• D. by carefully observing his own children

Correct answer: A

Rationale: Sigmund Freud constructed his psychosexual theory on the basis of his adult patients' memories of painful childhood events. Freud believed that events in early childhood had a significant impact on an individual's development and personality. He used his patients' recollections of childhood experiences to develop his theories on psychosexual development. Choice B is incorrect as Freud did not base his theory on studies of animal behavior. Choice C is incorrect as Freud's theory was not solely based on interviews with institutionalized children and adolescents. Choice D is incorrect as Freud did not construct his theory by observing his own children.

2. 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.

3. A theory of development __________.

• A. illustrates the ultimate truth about human behavior
• B. describes, explains, and predicts behavior
• C. explains all aspects of human growth
• D. does not require scientific verification

Correct answer: B

Rationale: A theory of development describes, explains, and predicts behavior. It provides a framework for understanding how individuals grow and change over time. The purpose of a theory is not to illustrate ultimate truth or explain all aspects of human growth, but rather to help researchers and practitioners make sense of and predict human behavior. Theories are expected to be tested and refined through scientific verification. Choice A is incorrect because theories do not necessarily illustrate ultimate truth. Choice C is incorrect as theories focus on behavior and development, not all aspects of human growth. Choice D is incorrect because scientific verification is essential for theories to be valid and reliable.

4. Which statement about the Nurse-Family Partnership is true?

• A. It is an international program to reduce the risk of teratogens.
• B. One of its goals is to promote competent early caregiving.
• C. It is a series of childbirth classes offered at many U.S. hospitals.
• D. It provides family planning and genetic counseling to couples.

Correct answer: B

Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.

5. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

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