Nursing Elites

1. Which factor disrupts the brain's regulation of hunger and metabolism?

• A. Self-regulation
• B. Frequent eating out
• C. Reduced sleep
• D. Using screen media

Correct answer: C

Rationale: Reduced sleep is the correct answer as it affects hormones that regulate hunger and metabolism, leading to increased appetite and weight gain. Self-regulation is not directly related to the brain's regulation of hunger and metabolism. Frequent eating out may impact food choices and portion sizes but is not specifically linked to disrupting the brain's regulation. Using screen media can affect sleep patterns but is not as directly related to the brain's regulation of hunger and metabolism as reduced sleep.

2. In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to __________.

• A. lower birth weight and higher risk of premature birth
• B. suppressed development of the immune system
• C. serious damage to the central nervous system
• D. improved fetal cardiovascular functioning

Correct answer: D

Rationale: In healthy, physically fit women, regular moderate to vigorous exercise during pregnancy is related to improved fetal cardiovascular functioning. Regular exercise has been shown to benefit both the mother and baby by promoting better cardiovascular health and overall well-being during pregnancy. Choices A, B, and C are incorrect as exercise during pregnancy, when done appropriately, does not lead to lower birth weight, higher risk of premature birth, suppressed immune system development, or serious damage to the central nervous system. Instead, it is known to have positive effects on fetal development and maternal health.

3. Why do young infants usually cry?

• A. because they are bored
• B. in shrill, piercing tones
• C. because of physical needs
• D. all night long

Correct answer: C

Rationale: Young infants usually cry because of physical needs such as hunger, discomfort, or needing to be changed. It is their way of communicating these needs to their caregivers as they are unable to do so in any other way. Choice A is incorrect because infants cry primarily to communicate physical needs, not because they are bored. Choice B is incorrect because the tone of the cry is not the reason why infants cry. Choice D is incorrect because infants cry for various physical needs, not necessarily all night long.

4. What did John Bowlby believe?

• A. Adults and more expert peers help children master culturally meaningful activities.
• B. The infant-caregiver bond has lifelong consequences for human relationships.
• C. Parents and infants are both instinctively attached to each other.
• D. Attachment patterns are difficult to study in humans.

Correct answer: B

Rationale: John Bowlby believed that the infant-caregiver bond has lifelong consequences for human relationships. This is supported by his theory of attachment, where he emphasized the importance of early attachment experiences in shaping individuals' future relationships. Choice A is incorrect as it does not reflect Bowlby's main focus on attachment theory. Choice C is incorrect as Bowlby's theory suggests that attachment is more than just instinctual. Choice D is also incorrect as Bowlby's work actually paved the way for the study of attachment patterns in humans.

5. According to Erikson, the danger in middle childhood is __________, reflected in the pessimism of children who lack confidence in their ability to do things well.

• A. shame
• B. mistrust
• C. inferiority
• D. despair

Correct answer: C

Rationale: According to Erikson's psychosocial theory, the danger in middle childhood is 'inferiority.' During this stage, children may develop a sense of inadequacy and inferiority if they are unable to master the social and academic tasks expected of them. This feeling of inferiority can lead to low self-esteem and pessimism about their abilities. Choice A, 'shame,' is more closely associated with Erikson's stage of autonomy vs. shame and doubt in early childhood. Choice B, 'mistrust,' is linked to Erikson's stage of trust vs. mistrust in infancy. Choice D, 'despair,' is related to Erikson's stage of integrity vs. despair in late adulthood.

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