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. Chinara is Rh-negative and Savon, her first child, is Rh-positive. Chinara's doctor will probably __________.

• A. give Savon a vaccine to prevent heart damage and intellectual disabilities
• B. advise Chinara not to have another child due to Rh incompatibility
• C. give Chinara a vaccine to prevent the buildup of antibodies to the foreign Rh protein
• D. do nothing because firstborn children are not affected by Rh incompatibility

Correct answer: C

Rationale: Chinara is Rh-negative and Savon, her first child, is Rh-positive. This presents a risk of Rh incompatibility in future pregnancies. To prevent the buildup of antibodies to the foreign Rh protein and protect future pregnancies, Chinara's doctor will likely give her a vaccine known as RhoGAM to prevent her immune system from reacting to Rh-positive blood cells. This vaccine helps to minimize the risks of complications in subsequent pregnancies. Choice A is incorrect because the vaccine is given to the mother, not the child. Choice B is incorrect as advising against having more children is not a typical response when preventive measures are available. Choice D is incorrect because all subsequent pregnancies are at risk of Rh incompatibility, not just the firstborn child.

3. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

4. According to Piaget, in which stage of cognitive development is four-year-old R’Monte who engages in make-believe play by stirring beads in a bowl and saying, “Soup is ready!”?

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. sociocultural

Correct answer: B

Rationale: According to Piaget's theory of cognitive development, four-year-old R’Monte's engagement in make-believe play, such as pretending to stir beads in a bowl and creating imaginary soup, indicates that he is in the preoperational stage of cognitive development. This stage is characterized by symbolic thinking, pretend play, language development, and egocentrism. Choice A, sensorimotor, is incorrect as this stage occurs in infancy and focuses on sensory experiences and object permanence. Choice C, concrete operational, is incorrect as this stage occurs around ages 7-11 and involves logical reasoning about concrete events. Choice D, sociocultural, is incorrect as it does not correspond to Piaget's stages of 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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