Nursing Elites

1. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

2. A major limitation of systematic observation is that it __________.

• A. provides little information on how participants actually behave
• B. tells investigators little about the reasoning behind responses and behaviors
• C. underestimates the capacities of individuals who have difficulty putting their thoughts into words
• D. ignores participants with poor memories, who may have trouble recalling exactly what happened

Correct answer: B

Rationale: A major limitation of systematic observation is that it tells investigators little about the reasoning behind responses and behaviors. Systematic observation focuses more on recording observable behaviors rather than delving into the underlying reasons or thought processes driving those behaviors. Choices A, C, and D are incorrect because systematic observation can indeed provide detailed information on how participants actually behave, it doesn't necessarily underestimate the capacities of individuals who struggle with verbal expression, and it doesn't solely ignore participants with poor memories as it can capture behavior in real-time regardless of memory recall.

3. One criticism of the information-processing approach is that it __________.

• A. underestimates the individual's contribution to his or her own development
• B. ignores transformation in adulthood, concluding that no major cognitive changes occur after adolescence
• C. underestimates the competencies of infants and preschoolers, focusing on older children and adolescents
• D. is better at analyzing thinking into its components than at putting them back together into a comprehensive theory

Correct answer: B

Rationale: The criticism that the information-processing approach ignores transformation in adulthood, concluding that no major cognitive changes occur after adolescence, suggests a limitation of the theory in not fully acknowledging that cognitive development continues throughout the lifespan. This criticism highlights a potential drawback of the approach in terms of its understanding of cognitive changes beyond adolescence. Choice A is incorrect because the criticism is not about underestimating the individual's contribution. Choice C is also incorrect as the criticism is not related to age-specific competencies. Choice D is incorrect as it focuses on a different aspect of the information-processing approach.

4. 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.

5. Katie wonders when she will first be able to hear her fetus's heartbeat through a stethoscope. You tell her that this should happen by the __________.

• A. fourth week of pregnancy
• B. third month of pregnancy
• C. end of the second trimester
• D. beginning of the third trimester

Correct answer: B

Rationale: The correct answer is the third month of pregnancy (choice B). During the third month of pregnancy, which is around 9-12 weeks, a fetal heartbeat can typically be heard using a stethoscope. This is an exciting milestone for expectant parents as it provides reassurance about the baby's well-being. Choices A, C, and D are incorrect because by the fourth week of pregnancy, the fetal heartbeat is not usually detectable with a stethoscope. The end of the second trimester and the beginning of the third trimester are too late in the pregnancy timeline for this milestone.

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