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. Lanugo ________.

• A. permits food and oxygen to reach the organism
• B. provides the fetus a cushion against jolts caused by the mother's movements
• C. helps regulate the fetus's body temperature
• D. helps the vernix stick to the skin

Correct answer: D

Rationale: Lanugo helps the vernix stick to the skin. Vernix is a waxy substance that covers the fetus's skin during pregnancy. Lanugo is a fine, downy hair that helps to anchor the vernix to the skin, providing protection and nourishment to the developing fetus. Choices A, B, and C are incorrect as they do not accurately describe the role of lanugo in prenatal development.

3. Striving for continuity is essential for attaining Erikson's sense of __________, which depends on preserving a sense of personal history.

• A. intimacy
• B. ego identity
• C. ego integrity
• D. initiative

Correct answer: C

Rationale: The correct answer is C: 'ego integrity.' Erikson's concept of ego integrity involves reflecting on life with a sense of satisfaction, which requires continuity in personal history. This sense of integrity is developed in late adulthood and is characterized by a feeling of wholeness and fulfillment. Choices A, B, and D are incorrect. Intimacy (choice A) relates to forming close relationships, ego identity (choice B) pertains to a stable sense of self, and initiative (choice D) is about being proactive and exploring the environment, which are not directly associated with preserving personal history for a sense of satisfaction in later life.

4. Dr. Kostel believes that development takes place in stages. This belief is consistent with the __________ perspective.

• A. nurture
• B. continuous
• C. discontinuous
• D. nature

Correct answer: C

Rationale: Dr. Kostel's belief in stage-based development aligns with the discontinuous perspective, which sees development as a series of distinct stages. The continuous perspective (choice B) suggests development as a smooth and gradual process without distinct stages. The nature perspective (choice D) focuses on genetic and hereditary influences on development. The nurture perspective (choice A) emphasizes the impact of environment and upbringing on development, which is not directly related to the belief in stage-based development.

5. By age 2, children __________.

• A. take turns in face-to-face interaction
• B. can infer a speaker's indirectly expressed intention
• C. adjust their speech to fit the age of their listeners
• D. adjust their speech to fit the social status of their listeners

Correct answer: C

Rationale: By age 2, children are capable of adjusting their speech to fit the age of their listeners, showing early social cognition. Choice A is incorrect because taking turns in face-to-face interaction typically develops later in childhood. Choice B is incorrect as the ability to infer a speaker's indirectly expressed intention is a more advanced skill not typically seen at age 2. Choice D is also incorrect as children at age 2 are not developmentally ready to adjust their speech based on the social status of their listeners.

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