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. What is the most common approach to controlling pain during labor?

• A. an anesthetic
• B. a spinal block
• C. fetal monitoring
• D. epidural analgesia

Correct answer: D

Rationale: Epidural analgesia is the most common approach to controlling pain during labor. It involves the administration of pain medication through a catheter placed in the epidural space of the spine, providing pain relief while allowing the mother to remain alert and participate in the birthing process. It is preferred by many women due to its effectiveness in reducing labor pain. Choices A, B, and C are incorrect as they do not directly address pain management during labor. While an anesthetic and a spinal block are forms of pain relief, epidural analgesia is specifically the most common method used for pain control during labor.

3. What increases from early to middle adulthood?

• A. Possible selves
• B. Self-doubt
• C. Destructiveness
• D. Autonomy

Correct answer: A

Rationale: Possible selves are ideas about what one might become in the future, which increase during the transition from early to middle adulthood. This period is characterized by individuals exploring and considering different potential future selves. Self-doubt (choice B) typically decreases as individuals become more confident and self-assured in middle adulthood. Destructiveness (choice C) is not a common developmental trend during this period. Autonomy (choice D) is a concept related to independence and self-governance, which may develop over a person's lifespan but does not specifically increase during the transition from early to middle adulthood.

4. Unlike Jean Piaget, Lev Vygotsky viewed cognitive development as a _________ process.

• A. socially mediated
• B. genetically predictable
• C. preoperational
• D. neurological

Correct answer: A

Rationale: Lev Vygotsky viewed cognitive development as a socially mediated process, emphasizing the role of social interactions and cultural influences in shaping a child's cognitive development. This is in contrast to Jean Piaget, who focused more on individual interactions with the environment. Vygotsky believed that cognitive development is significantly influenced by social interactions with others, highlighting the importance of collaborative learning and cultural context. Choices B, C, and D are incorrect as they do not align with Vygotsky's perspective on cognitive development.

5. Unlike adults, newborn babies __________.

• A. have a limited sense of smell
• B. see nearby objects most clearly
• C. prefer unfamiliar voices to familiar ones
• D. see unclearly across a wide range of distances

Correct answer: B

Rationale: Unlike adults, newborn babies see nearby objects most clearly. This is due to the fact that newborns have a limited ability to focus their eyes on objects that are farther away. Their visual acuity is not fully developed at birth, leading to clearer vision of objects situated at a close distance. Choice A is incorrect because newborn babies have a well-developed sense of smell. Choice C is incorrect as newborns typically show a preference for familiar voices, such as their mother's voice. Choice D is incorrect as newborns do not see unclearly across a wide range of distances; rather, their vision is clearer for nearby objects.

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