Nursing Elites

1. Nine-month-old Avery can retrieve his ball when his mother hides it under a blanket. Avery has begun to master __________.

• A. the tertiary circular reaction
• B. reflexive schemes
• C. object permanence
• D. deferred imitation

Correct answer: C

Rationale: Avery demonstrating the ability to retrieve his ball hidden under a blanket indicates that he has started to understand object permanence. Object permanence is the concept that objects continue to exist even when they are out of sight. This milestone typically occurs around 8-12 months of age. The other choices are incorrect. Option A, the tertiary circular reaction, is related to Piaget's theory of sensorimotor development but does not specifically address object permanence. Reflexive schemes (Option B) refer to simple, reflex-like behaviors and are not directly linked to object permanence. Deferred imitation (Option D) involves the ability to imitate actions observed at an earlier time, which is a different developmental milestone compared to object permanence.

2. During prenatal development, the ectoderm folds over to form the __________, or primitive spinal cord.

• A. mesoderm; neuron tract
• B. neural tube
• C. endoderm; neural tube
• D. neuron tract

Correct answer: B

Rationale: The correct answer is B. During prenatal development, the ectoderm folds over to form the neural tube, which eventually develops into the brain and spinal cord. The neural tube is the precursor to the central nervous system, including the primitive spinal cord. Choices A, C, and D are incorrect because the mesoderm does not form the neural tube, the endoderm is not involved in the formation of the central nervous system, and neuron tract is not the structure that forms the primitive spinal cord.

3. Pregnant women are wise to avoid eating __________, which are heavily contaminated with __________.

• A. long-lived predatory fish; mercury
• B. freshwater fish; lead
• C. long-lived predatory fish; polychlorinated biphenyls
• D. freshwater fish; radiation

Correct answer: A

Rationale: Pregnant women are wise to avoid eating long-lived predatory fish, which are heavily contaminated with mercury. Mercury is a known teratogen, meaning it can negatively impact the development of the fetus and lead to birth defects. It is recommended that pregnant women choose fish with lower levels of mercury to reduce potential risks to the baby's health. Choices B, C, and D are incorrect because lead, polychlorinated biphenyls, and radiation are not typically found in fish at levels that pose significant risks to pregnant women and the developing fetus.

4. Although Justin spent his first 18 months in an orphanage, his adoptive mother believes that sensitive caregiving will help Justin overcome his early experiences. Justin's mother emphasizes the role of __________ in development.

• A. nurture
• B. stages
• C. stability
• D. nature

Correct answer: A

Rationale: The correct answer is A, nurture. Nurture refers to the environmental influences that shape behavior and development. In this scenario, Justin's adoptive mother believes that providing sensitive caregiving will override the negative effects of his early experiences in the orphanage, highlighting the importance of nurture in promoting healthy development. Choice B, stages, is incorrect as it refers to the sequence of developmental milestones individuals pass through. Choice C, stability, is incorrect as it pertains to the consistency of behavior or development over time. Choice D, nature, is incorrect as it relates to genetic and biological factors influencing development, which is not the focus of Justin's mother's beliefs.

5. According to Erikson, __________ occurs when aging adults feel they have made many wrong decisions, yet time is too short to find an alternate route to integrity.

• A. mistrust
• B. despair
• C. stagnation
• D. isolation

Correct answer: B

Rationale: According to Erikson's theory of psychosocial development, despair is the stage that aging adults face when they reflect on their life and feel they have not achieved their goals, with little time left to correct their mistakes. Mistrust (choice A) is associated with infancy, stagnation (choice C) with middle adulthood, and isolation (choice D) with young adulthood, and are not relevant to the described scenario of aging adults reflecting on their life decisions.

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