Nursing Elites

1. When __________, newborn Takeo's toes should fan out and curl as his foot twists in.

• A. a bright light shines in his eyes
• B. his bare foot touches a flat surface
• C. his cheek is stroked near the corner of his mouth
• D. the sole of his foot is stroked from toe to heel

Correct answer: D

Rationale: The correct answer is D because the description of the twisting and fanning out of newborn Takeo's toes suggests the Babinski reflex, which is typically elicited by stroking the sole of the foot from toe to heel. The Babinski reflex is a normal response in newborns and indicates proper neurological development. Choices A, B, and C are incorrect as they do not elicit the specific response described in the question.

2. What is the goal of applied behavior analysis?

• A. outline changes in temperament over the lifespan
• B. eliminate undesirable behaviors and increase desirable responses
• C. examine how we think about ourselves and other people
• D. synthesize information from various sources into a detailed picture of a person's personality

Correct answer: B

Rationale: The correct answer is B: "eliminate undesirable behaviors and increase desirable responses." Applied behavior analysis aims to modify behavior by focusing on eliminating unwanted behaviors and reinforcing desirable ones. It does not primarily deal with changes in temperament (choice A), self-perception (choice C), or personality traits (choice D). The approach involves techniques such as reinforcement to target specific behaviors, rather than broader cognitive processes or personality characteristics.

3. Newborn infants who are brain damaged or who have experienced birth trauma often __________.

• A. display disturbed REM-NREM sleep cycles
• B. cry less than those with no brain functioning problems
• C. spend about 20 percent of their total sleep time in REM sleep
• D. have very low or inaudible cries

Correct answer: A

Rationale: Newborn infants who are brain damaged or who have experienced birth trauma often display disturbed REM-NREM sleep cycles. This disruption in the sleep cycle can be a sign of neurological issues and can impact the newborn's overall health and development. Choice B is incorrect because infants with brain damage or birth trauma may actually cry more due to their discomfort or neurological issues. Choice C is incorrect because spending about 20 percent of total sleep time in REM sleep is not necessarily specific to brain-damaged or birth-traumatized infants. Choice D is incorrect because having very low or inaudible cries is not a common characteristic associated with brain damage or birth trauma in infants.

4. Students who are foreign-born or first-generation Americans _______ than students of native-born parents.

• A. are more likely to commit delinquent and violent acts
• B. are more likely to be obese
• C. often achieve in school as well as or better
• D. tend to report lower self-esteem

Correct answer: C

Rationale: According to the information provided in the text box 'CULTURAL INFLUENCES: Immigrant Youths: Adapting to a New Land' on page 32, students who are foreign-born or first-generation Americans often achieve in school as well as or better than students of native-born parents. This implies that they excel academically despite facing challenges related to cultural adaptation and assimilation. Choices A, B, and D are incorrect because the provided information specifically highlights the academic achievement of foreign-born or first-generation American students compared to students of native-born parents, not their likelihood of committing delinquent acts, obesity rates, or self-esteem levels.

5. __________ children are at risk for poor school performance, substance abuse, and antisocial behavior in adolescence and criminality in adulthood.

• A. Average
• B. Controversial
• C. Rejected
• D. Popular

Correct answer: C

Rationale: Rejected children often face social difficulties that lead to negative outcomes later in life, including academic and behavioral problems. The term 'rejected' specifically refers to children who are socially excluded or shunned by their peers, leading to the mentioned negative consequences. 'Average,' 'Controversial,' and 'Popular' do not convey the same meaning and are not related to the risks mentioned in the question.

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