Nursing Elites

1. What are substances, such as viruses and drugs, that can cause birth defects?

• A. Teratogens
• B. Placenta
• C. Parturition
• D. Androgens

Correct answer: A

Rationale: Teratogens are substances that can cause birth defects, especially if exposure occurs during critical periods of development. In this context, teratogens refer to external agents that can interfere with the development of the embryo or fetus, leading to structural or functional abnormalities. Choice B, Placenta, is incorrect as it is an organ that develops during pregnancy to provide nutrients and oxygen to the fetus and remove waste products. Choice C, Parturition, refers to the process of giving birth and is not related to substances that cause birth defects. Choice D, Androgens, are male sex hormones and are not associated with causing birth defects.

2. Which of the following statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

3. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

4. Rita shows better control over her eating habits at 2.5 years than her brother Richard did at the same age. Why?

• A. Girls are naturally smarter than boys.
• B. Second-born children learn faster.
• C. Girls have better fine motor skills.
• D. Boys have better gross motor skills.

Correct answer: D

Rationale: The correct answer is D because boys typically develop gross motor skills, like running and jumping, more quickly than girls. This can explain why Richard may have had less control over his eating habits compared to Rita at the same age. Choices A, B, and C are incorrect because they do not address the specific developmental aspect related to eating habits control mentioned in the question.

5. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

• A. Secure
• B. Avoidant
• C. Ambivalent
• D. Disorganized

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

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