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. Which expectant mother has the greatest risk of a baby born with fetal alcohol syndrome?

• A. Chloe, a Caucasian American
• B. Latima, an African American
• C. Yvonne, a Native American
• D. Ming, an Asian American Answer: C Page Ref: 85 Skill Level: Apply known or suspected teratogens. Topic: Prenatal Environmental Influences Difficulty Level: Moderate

Correct answer: C

Rationale: According to research, Native American populations have the highest prevalence of fetal alcohol syndrome (FAS) in the United States. This increased risk is due to various social, cultural, and environmental factors within Native American communities.

3. Low-level radiation, resulting from industrial leakage or medical X-rays, __________.

• A. is harmful only when combined with other teratogens
• B. can increase the risk of childhood cancer
• C. rarely causes lasting damage
• D. is safe during the last trimester

Correct answer: B

Rationale: Low-level radiation, whether from industrial leakage or medical X-rays, can increase the risk of childhood cancer by potentially damaging the developing fetus's cells. Even though the risk is relatively low, it is still a significant concern that should be acknowledged and monitored closely, especially during prenatal development. Choice A is incorrect as low-level radiation can still be harmful on its own without the need to be combined with other teratogens. Choice C is incorrect because low-level radiation exposure can indeed cause lasting damage, especially in the context of childhood cancer risk. Choice D is incorrect because low-level radiation exposure, even during the last trimester, can pose risks to the developing fetus and is not considered entirely safe.

4. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

5. Ethnographic research is directed toward understanding a culture through __________ observation.

• A. naturalistic
• B. participant
• C. systematic
• D. structured

Correct answer: B

Rationale: Ethnographic research is directed toward understanding a culture through participant observation. This type of observation involves the researcher immersing themselves in the culture being studied, actively participating in the daily activities and interactions of the group being studied. Through participant observation, researchers can gain a deep and nuanced understanding of the culture from the inside. Choice A, naturalistic observation, typically refers to observing subjects in their natural environment without interference, but it does not involve actively participating in the culture. Choice C, systematic observation, focuses on carefully planned and structured data collection methods but may not involve direct participation. Choice D, structured observation, implies a predefined set of guidelines for observation but lacks the immersive aspect of participant observation.

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