Nursing Elites

1. Vygotsky saw __________ as the foundation for all higher cognitive processes.

• A. egocentrism
• B. language
• C. sensorimotor activity
• D. self-reflection

Correct answer: B

Rationale: Corrected Rationale: Vygotsky believed that language plays a crucial role in the development of higher cognitive functions. Language enables individuals to communicate, think abstractly, and engage in complex problem-solving, forming the foundation for higher cognitive processes. Egocentrism (Choice A) refers to a stage in Piaget's theory of cognitive development, not Vygotsky's. Sensorimotor activity (Choice C) is part of Piaget's stages of cognitive development, focusing on how infants understand the world through sensory experiences and physical actions. Self-reflection (Choice D) involves introspection and examination of one's thoughts and feelings, which is not the central concept in Vygotsky's theory.

2. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

3. Tammy's father is an exceptional gymnast. When Tammy was just a toddler, her father believed that Tammy already showed great promise as a gymnast. Tammy's father probably believes that athletic ability is mostly determined by __________.

• A. nurture
• B. stages
• C. nature
• D. early experiences

Correct answer: C

Rationale: Tammy's father likely believes that athletic ability is mostly determined by nature because he believes she showed great promise at a young age, indicating a natural talent or genetic predisposition towards gymnastics. This suggests that he attributes Tammy's abilities to her inherent qualities rather than her upbringing or experiences (nurture). While stages and early experiences can play a role in skill development, in this context, the emphasis is on innate abilities, making 'nature' the most suitable choice.

4. During which period does the germinal period occur?

• A. Occurs during the second trimester of pregnancy
• B. Lasts about six weeks
• C. Lasts about two weeks
• D. Is the final period of a 38-week pregnancy

Correct answer: C

Rationale: The germinal period lasts about two weeks and occurs during the first two weeks of pregnancy. This is the time when the fertilized egg implants into the uterus and begins to divide rapidly. It is followed by the embryonic period, which lasts from about week 3 to week 8 of pregnancy. Choice A is incorrect because the germinal period happens in the early stages of pregnancy, not the second trimester. Choice B is incorrect because the germinal period typically lasts about two weeks, not six. Choice D is incorrect because the germinal period is an early stage of pregnancy and not the final period of a 38-week pregnancy.

5. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

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