Nursing Elites

1. __________ theory was the first to stress the influence of the early parent‒child relationship on development.

• A. Darwin’s
• B. Freud’s
• C. Erikson’s
• D. Watson’s Answer: B Page Ref: 15 Skill Level: Remember Topic: Mid-Twentieth-Century Theories Difficulty Level: Easy

Correct answer: B

Rationale: Freud's theory was the first to stress the influence of the early parent‒child relationship on development. Sigmund Freud's psychoanalytic theory emphasized the importance of the child's interactions with caregivers, particularly during the early stages of development, in shaping personality and behavior.

2. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

3. How can families prevent escalating demands that lead to chaos?

• A. Parental multitasking
• B. Eating separate meals
• C. Compression of family routines
• D. High-quality child care that is affordable and reliable

Correct answer: D

Rationale: High-quality child care that is affordable and reliable can help prevent escalating demands on families that lead to chaos. This is achieved by providing a stable and supportive environment for children, enabling parents to balance work and family responsibilities effectively. Access to reliable child care reduces stress and helps in preventing chaos within the family, ultimately leading to improved well-being for both parents and children. Choices A, B, and C are incorrect as they do not directly address the need for external support to manage family demands and prevent chaos. Parental multitasking, eating separate meals, and compressing family routines may not provide the necessary stability and support required to prevent escalating demands on families.

4. 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.

5. Swaddling newborns __________.

• A. increases crying
• B. hinders early motor development
• C. promotes an insecure attachment relationship
• D. restricts movement and increases warmth

Correct answer: D

Rationale: Swaddling newborns restricts their movement by wrapping them snugly in a blanket, which helps to mimic the feeling of security they had in the womb. It also helps to maintain their warmth and can promote better sleep patterns. Choices A, B, and C are incorrect because swaddling does not increase crying, hinder early motor development, or promote an insecure attachment relationship. Instead, it provides comfort, warmth, and a sense of security for newborns.

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