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. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

3. Dr. Bigelow is interested in studying musical prodigies. Which method is best suited for this type of research?

• A. naturalistic observation
• B. clinical interview
• C. case study
• D. structured interview

Correct answer: C

Rationale: A case study would be the best method for Dr. Bigelow to study musical prodigies. In a case study, the researcher can closely examine and analyze the unique characteristics, abilities, and behaviors of individual subjects. This method allows for in-depth exploration of a specific phenomenon, making it ideal for investigating exceptional cases such as musical prodigies. Naturalistic observation involves observing subjects in their natural environment without interference, which may not provide the detailed insights needed for studying musical prodigies. Clinical interviews focus on gathering information through structured questioning, not ideal for studying unique talents. Structured interviews involve asking a set of predetermined questions, which may not allow for the depth of exploration required for studying musical prodigies.

4. What is a major strength of the longitudinal design?

• A. Examine relationships between early and later behaviors
• B. Collect a large amount of data in a short time span
• C. Explore similarities among children of different cohorts
• D. Study participants differing in age at the same point in time

Correct answer: A

Rationale: A major strength of the longitudinal design is that researchers can examine relationships between early and later behaviors. This design allows researchers to observe and track changes in the same participants over an extended period of time, providing valuable insights into developmental trajectories and how behaviors are connected across different stages of life. Choice B is incorrect because longitudinal studies track changes over time, not necessarily collect a large amount of data in a short time span. Choice C is incorrect as it refers to cross-sectional studies rather than longitudinal studies. Choice D is incorrect as it describes a cross-sectional design where participants of different ages are studied at the same time.

5. Liz is 36 weeks pregnant. A rise in her baby's heart rate is probably followed within five seconds by __________.

• A. a burst of motor activity
• B. a period of sleep
• C. a rise in Liz's heart rate
• D. a drop in Liz's body temperature

Correct answer: A

Rationale: A rise in the baby's heart rate during pregnancy is usually followed within five seconds by a burst of motor activity. This indicates that the baby is responding to stimuli and is an important sign of healthy fetal development. A period of sleep, a rise in Liz's heart rate, or a drop in Liz's body temperature are not typically immediate responses to changes in the baby's heart rate. Sleep is less likely to be a direct response to changes in heart rate, Liz's heart rate is independent of the baby's heart rate changes, and a drop in Liz's body temperature is not a common immediate response to fetal heart rate changes.

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