Nursing Elites

1. When Ryan was born, the hospital assessed his health with the Apgar scale, and the score was 5. What does this mean with respect to his breathing pattern?

• A. He was not in danger
• B. He needed help in establishing a breathing pattern
• C. He was in excellent condition
• D. He was in critical condition

Correct answer: B

Rationale: An Apgar score of 5 suggests that Ryan needed help establishing a regular breathing pattern after birth. Choice A is incorrect because a score of 5 indicates the need for assistance. Choice C is incorrect as an Apgar score of 5 does not reflect excellent condition. Choice D is incorrect as it signifies a critical condition, which is not the case with an Apgar score of 5.

2. _______ tends to be seen in American children, whereas _______ tends to be seen in Thai children.

• A. Aggressive behavior; calm behavior
• B. Overcontrolled behavior; undercontrolled behavior
• C. Undercontrolled behavior; overcontrolled behavior
• D. Equal behavioral traits in both cultures.

Correct answer: C

Rationale: The correct answer is C: 'Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.' This statement is supported by cultural studies and observations. American children are often described as exhibiting undercontrolled behavior, which includes impulsivity and lack of inhibition. On the other hand, Thai children are often described as showing overcontrolled behavior, characterized by restraint and adherence to social norms. Choice A is incorrect because calm behavior is not typically associated with American children. Choice B is incorrect as overcontrolled behavior is not commonly associated with American children. Choice D is incorrect as there are observed differences in behavioral traits between American and Thai children.

3. Which of the following is an example of telegraphic speech?

• A. A child pointed to his father's shoe and said 'daddy,' as if to convey 'daddy's shoe.'
• B. A thirsty toddler said, 'mama water.'
• C. A newborn infant asked, 'Can I have some coffee?'
• D. A baby communicated to her parents using her brain.

Correct answer: B

Rationale: The correct answer is B. Telegraphic speech is when a child uses a two-word phrase to convey a larger meaning, such as 'mama water.' Choice A is incorrect as it does not demonstrate telegraphic speech but rather a simple labeling. Choice C is incorrect as it is a complete sentence and not a two-word phrase. Choice D is also incorrect as it does not describe telegraphic speech but rather a vague statement about communication.

4. What term describes exceptional mental abilities such as mental math, memorization, musical, and artistic ability found among individuals with autism?

• A. Savant skills
• B. Theory of mind
• C. Echolalia
• D. Self-stimulatory behaviors

Correct answer: A

Rationale: The correct answer is A: Savant skills. Savant skills refer to exceptional abilities commonly observed in individuals with autism. These skills can include remarkable talents in areas such as mental math, memorization, music, and art. Choice B, Theory of mind, is the ability to attribute mental states to oneself and others, which is a different concept. Choice C, Echolalia, is the repetition of words or phrases, not related to exceptional abilities. Choice D, Self-stimulatory behaviors, involves repetitive body movements or sounds often seen in individuals with autism but is not directly related to exceptional mental abilities.

5. 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.

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