Nursing Elites

1. Which state of arousal is considered the most fleeting?

• A. Regular sleep
• B. REM sleep
• C. Drowsiness
• D. Quiet alertness

Correct answer: D

Rationale: Quiet alertness is indeed the most fleeting state of arousal. This state is characterized by a newborn infant being awake, calm, and attentive, but it is short-lived and transitions quickly to other states of arousal. Regular sleep, REM sleep, and drowsiness are not considered as brief and transitional as quiet alertness in newborn infants.

2. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

3. The embryonic disk __________.

• A. becomes the new organism
• B. is the outer ring of cells on a blastocyst
• C. has a good chance of survival outside the womb
• D. is a protective membrane that surrounds the amnion Answer: A Page Ref: 77 Skill Level: Understand Topic: Prenatal Development Difficulty Level: Moderate

Correct answer: A

Rationale: The embryonic disk becomes the new organism. It is a cluster of cells within the blastocyst that will develop into the fetus during the early stages of prenatal development. This cluster of cells is responsible for giving rise to all the tissues and organs of the developing organism.

4. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

5. 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.

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