Nursing Elites

1. According to cognitive-developmental theory, a scheme is __________.

• A. an internal process that occurs apart from any contact with the environment
• B. the understanding that objects continue to exist when out of sight
• C. the ability to copy the behavior of others
• D. an organized way of making sense of experience

Correct answer: D

Rationale: In cognitive-developmental theory, a scheme is an organized way of making sense of experience. This term refers to mental structures or frameworks that help individuals interpret and understand the world around them. Choice A is incorrect because schemes are developed through interaction with the environment. Choice B refers to object permanence, a concept from Piaget's theory of cognitive development, not schemes. Choice C describes observational learning, which is different from the concept of schemes in cognitive development.

2. Before the late 1800s, childbirth usually took place __________.

• A. at home and was a family-centered event
• B. at home, but away from other family members
• C. in a hospital with trained midwives
• D. in the home of a medical professional or in a hospital

Correct answer: A

Rationale: Before the late 1800s, childbirth usually took place at home and was a family-centered event. During this period, most women gave birth at home with the help of family members and possibly a midwife. Hospitals were not common settings for childbirth at that time. Choice B is incorrect because childbirth was not typically done away from family members. Choice C is incorrect because hospitals were not the common setting for childbirth before the late 1800s. Choice D is incorrect because giving birth in the home of a medical professional or a hospital was not the norm during that period.

3. Which research method is an outgrowth of psychoanalytic theory?

• A. naturalistic observation
• B. structured observation
• C. ethnography
• D. the clinical method

Correct answer: D

Rationale: The clinical method is an outgrowth of psychoanalytic theory. This method involves in-depth, one-on-one interviews or therapy sessions to explore an individual's unconscious thoughts and emotions. It aims to gain insight into the underlying causes of behavior and psychological issues, aligning with the foundational principles of psychoanalytic theory developed by Sigmund Freud. Choices A, B, and C are not directly associated with psychoanalytic theory. Naturalistic observation, structured observation, and ethnography focus on observing behavior in natural settings, systematic observation in controlled environments, and studying cultures and societies, respectively, which are not specific to the psychoanalytic approach.

4. Which of the following is a situational barrier to seeking early prenatal care?

• A. psychological stress
• B. difficulty arranging transportation
• C. ambivalence about the pregnancy
• D. demands of taking care of other young children Answer: B Page Ref: 91 Skill Level: Understand newborn baby’s appearance. Topic: Childbirth Difficulty Level: Moderate

Correct answer: B

Rationale: Difficulty arranging transportation can be a situational barrier to seeking early prenatal care because it can prevent pregnant individuals from being able to physically get to their healthcare provider for appointments. This barrier may make it challenging for individuals to access the necessary prenatal care and support for a healthy pregnancy.

5. An inadequate diet during pregnancy can __________.

• A. lead to higher birth weight and greater brain weight
• B. reduce the risk of pregnancy-induced maternal diabetes
• C. distort the structure of the liver, kidney, and pancreas
• D. lead to fewer physical discomforts in the final weeks Answer: C Page Ref: 88 Skill Level: Understand Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: An inadequate diet during pregnancy can lead to the distortion of the structure of the liver, kidney, and pancreas in the developing fetus. Proper nutrition during pregnancy is crucial for the healthy development of these organs and essential for the overall well-being of the baby. A balanced diet supports optimal growth and development, while inadequate nutrition can have detrimental effects on the baby's organs and long-term health.

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