Nursing Elites

1. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.

• A. intimacy
• B. ego identity
• C. ego integrity
• D. initiative

Correct answer: C

Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.

2. A __________ is a means of building schemes in which an infant who has stumbled onto a new experience caused by his or her own motor activity tries to repeat the event again and again.

• A. sensorimotor reflex
• B. circular reaction
• C. mental representation
• D. goal-directed behavior

Correct answer: B

Rationale: A circular reaction is a process where an infant repeats a specific action to explore and learn about the environment through their own motor activity. This repetition helps the infant to understand the consequences of their actions and build cognitive schemes. Sensorimotor reflex (choice A) refers to automatic responses to stimuli, not a purposeful repetition of actions to learn. Mental representation (choice C) involves internal cognitive structures to represent objects or events in the mind, which is different from the repetitive behavior described in the question. Goal-directed behavior (choice D) is purposeful and intentional, unlike the repetitive nature of circular reactions in infants' learning process.

3. Nine-month-old Avery can retrieve his ball when his mother hides it under a blanket. Avery has begun to master __________.

• A. the tertiary circular reaction
• B. reflexive schemes
• C. object permanence
• D. deferred imitation

Correct answer: C

Rationale: Avery demonstrating the ability to retrieve his ball hidden under a blanket indicates that he has started to understand object permanence. Object permanence is the concept that objects continue to exist even when they are out of sight. This milestone typically occurs around 8-12 months of age. The other choices are incorrect. Option A, the tertiary circular reaction, is related to Piaget's theory of sensorimotor development but does not specifically address object permanence. Reflexive schemes (Option B) refer to simple, reflex-like behaviors and are not directly linked to object permanence. Deferred imitation (Option D) involves the ability to imitate actions observed at an earlier time, which is a different developmental milestone compared to object permanence.

4. What is a major disadvantage of cross-sectional research?

• A. Age-related changes cannot be examined.
• B. Participants often drop out before the study is over.
• C. Factors affecting individual development cannot be explored.
• D. Practice effects often cause biased findings.

Correct answer: C

Rationale: One major disadvantage of cross-sectional research is that factors affecting individual development cannot be explored thoroughly. Cross-sectional research involves comparing different groups of people at one specific point in time, and does not allow for tracking individual changes over time. This limitation means that the unique influences and trajectories of individual development may be overlooked in cross-sectional studies. Choices A, B, and D are incorrect. Choice A is not a major disadvantage of cross-sectional research as age-related changes can still be compared across different groups in this type of study. Choice B, while a potential issue in any study, is not specific to cross-sectional research. Choice D refers to a different type of bias caused by repeated testing rather than a major disadvantage of cross-sectional research.

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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