Nursing Elites

1. Down syndrome is caused by ________

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

2. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

3. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the _________ stage.

• A. Oral
• B. Anal
• C. Phallic
• D. Genital

Correct answer: C

Rationale: The correct answer is C: Phallic. Freud's psychosexual stage that occurs between ages 3 and 5 and includes the Oedipal period is the phallic stage. This stage is characterized by the Oedipus complex for boys and the Electra complex for girls. Choices A, B, and D are incorrect because the oral stage typically occurs during the first year of life, the anal stage occurs around ages 2 to 3, and the genital stage is the final stage in Freud's theory of psychosexual development.

4. What are protective factors? Give an example of one and explain how it can impact a person's later functioning.

• A. Protective factors are influences that modify a person's response to environmental stressors, making adverse consequences less likely.
• B. An example of a protective factor is having a warm and caring parent, which may lead to resilience.
• C. Protective factors usually lead to resilience, the ability to adapt successfully to stressful circumstances.
• D. Protective factors always prevent the development of psychopathology.

Correct answer: B

Rationale: Protective factors are influences that modify a person's response to environmental stressors, reducing the likelihood of adverse outcomes. An example of a protective factor is having a warm and caring parent, which can foster resilience in individuals. Resilience allows individuals to adapt successfully to stressful situations. Choice A is incorrect as protective factors do not always prevent adverse consequences but reduce their likelihood. Choice C is incorrect as resilience is the outcome of protective factors, not the other way around. Choice D is incorrect as while protective factors can reduce the risk of psychopathology, they do not always prevent its development.

5. Children raised in orphanages tend to have ________.

• A. more cortical gray matter than those raised by their parents.
• B. less cortical gray matter than those raised by their parents.
• C. more friendships than those raised by their parents.
• D. fewer friendships than those raised by their parents.

Correct answer: B

Rationale: The correct answer is B: 'less cortical gray matter than those raised by their parents.' Studies have shown that children raised in orphanages tend to have less cortical gray matter compared to those raised by their parents. This is due to the lack of individualized care, attention, and stimulation that can negatively impact brain development. Choices A, C, and D are incorrect because there is no direct correlation between cortical gray matter and the number of friendships when comparing children raised in orphanages and those raised by their parents.

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