Nursing Elites

1. Which statement provides an example of an age-graded influence?

• A. Paul learned to play the violin at a young age.
• B. Jack enjoys hiking in the mountains.
• C. Sarah prefers reading mystery novels.
• D. Alex excels in mathematics.

Correct answer: A

Rationale: The corrected statement 'Paul learned to play the violin at a young age' provides an example of an age-graded influence. This is because learning to play the violin is a behavior that is typical or expected at a certain age, reflecting how age influences individuals' experiences and development. In contrast, choices B, C, and D do not directly relate to age-graded influences. Jack's enjoyment of hiking, Sarah's preference for reading mystery novels, and Alex's proficiency in mathematics are not inherently tied to age-related developmental influences.

2. Dr. Anderson wants to conduct a study to determine the cause-and-effect relationship between domestic violence and anger in children. Dr. Anderson should use a(n) __________ design.

• A. structured
• B. observational
• C. correlational
• D. experimental

Correct answer: D

Rationale: Dr. Anderson should use an experimental design to determine the cause-and-effect relationship between domestic violence and anger in children. In an experimental design, the researcher manipulates the independent variable (in this case, exposure to domestic violence) to observe its effect on the dependent variable (anger in children). This design allows for the establishment of a cause-and-effect relationship by controlling for other variables that may influence the outcomes. Observational design (Choice B) involves observing subjects in their natural environment without interference, correlational design (Choice C) examines the relationship between variables without manipulating them, and structured design (Choice A) typically refers to a study with predetermined procedures and data collection methods, which may not be suitable for establishing cause-and-effect relationships.

3. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

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. When Mateo was born prematurely to Yvonne, a cocaine addict, what can his caregivers expect?

• A. He will be very attentive to the environment
• B. His cries will be abnormally shrill and piercing
• C. He will overcome the harmful effects of drug exposure by age 3
• D. His motor development will be especially rapid during the first year

Correct answer: B

Rationale: Mateo, being born prematurely to a cocaine-addicted mother, is at risk for several health issues. One common effect of prenatal drug exposure is a higher likelihood of sensory and regulatory problems, such as having abnormally shrill and piercing cries. This is a potential outcome that Mateo's caregivers can expect due to his circumstances. Choice A is incorrect as there is no direct correlation between being born prematurely to a cocaine-addicted mother and being very attentive to the environment. Choice C is incorrect as overcoming harmful effects of drug exposure by age 3 is overly optimistic and may not be the case for all children exposed to drugs prenatally. Choice D is incorrect as rapid motor development is not typically associated with prenatal drug exposure.

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