Nursing Elites

1. Depression __________.

• A. declines with age
• B. responds to treatment that is completely covered by Medicare
• C. is rarely related to physical illness or pain
• D. can lead to cognitive deterioration

Correct answer: D

Rationale: The correct answer is D: 'can lead to cognitive deterioration.' Depression, particularly in older adults, can significantly impair cognitive function, leading to further mental health challenges. Choices A, B, and C are incorrect. Depression does not necessarily decline with age, treatment coverage may vary, and depression can indeed be related to physical illness or pain.

2. Fetal monitoring is __________.

• A. rarely used in U.S. hospitals
• B. linked with low birth weight
• C. linked with a decreased rate of cesarean deliveries
• D. required in most U.S. hospitals

Correct answer: D

Rationale: Fetal monitoring is required in most U.S. hospitals during labor and delivery to track the baby's heart rate and the mother's contractions. This helps healthcare providers to assess the well-being of the fetus and make timely decisions regarding the need for interventions if any complications arise. Choices A, B, and C are incorrect because fetal monitoring is a standard procedure in most hospitals to ensure the safety and health of both the mother and the baby during labor.

3. Three-month-old Jefferson will probably listen longer to __________ than to __________.

• A. pure tones; voices
• B. pure tones; noises
• C. human speech; nonspeech sounds
• D. a foreign language; his native language

Correct answer: C

Rationale: Three-month-old Jefferson will likely listen longer to human speech compared to nonspeech sounds because infants have a natural preference for speech sounds. This preference is believed to be attributed to their biological readiness to learn language and communicate with others. Choice A is incorrect because voices are a form of human speech, which is preferred over pure tones. Choice B is incorrect as noises do not necessarily engage infants' attention as effectively as human speech. Choice D is incorrect because Jefferson is more likely to listen longer to his native language rather than a foreign language at this early age.

4. Which Apgar criterion can be more difficult to apply to newborns of all races?

• A. pink color
• B. reflex irritability
• C. limp muscle tone
• D. strong breathing

Correct answer: D

Rationale: Among the Apgar criteria, the pink color (choice A), reflex irritability (choice B), and limp muscle tone (choice C) are relatively easy to assess in newborns of all races. However, the criterion that can be more difficult to apply to newborns of all races is strong breathing (choice D). This is because evaluating the strength of a newborn's breathing can be more subjective and require careful observation. Unlike the other criteria that have more visible and objective indicators, assessing the strength of breathing might vary based on the observer's interpretation, making it more challenging to apply universally.

5. According to Jean Piaget's cognitive-developmental theory, __________?

• A. children actively construct knowledge as they manipulate and explore their world
• B. children's learning depends on reinforcers, such as rewards from adults
• C. adult teaching is the best way to foster development
• D. rapid development occurs during sensitive periods

Correct answer: A

Rationale: According to Jean Piaget's cognitive-developmental theory, children actively construct knowledge as they manipulate and explore their world. Piaget emphasized that children learn through their own actions and interactions with the environment, leading to cognitive development. Choice B is incorrect because Piaget's theory focuses on children's active engagement in learning rather than passive reinforcement. Choice C is incorrect because Piaget's theory highlights the child's role in constructing knowledge, not solely relying on adult teaching. Choice D is incorrect as it refers to sensitive periods, a concept more associated with other developmental theories like Erikson's psychosocial theory, not Piaget's cognitive-developmental theory.

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