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. Dr. Dias's research shows that the death of a spouse in old age is correlated with a decline in the surviving partner's physical health. Which conclusion is supported by this study?

• A. The death of a spouse causes a decline in the surviving partner's physical health.
• B. The death of a spouse is related to a decline in the surviving partner's physical health.
• C. A decline in a surviving partner's physical health can cause the death of a spouse.
• D. A third variable, such as memory loss, causes a surviving partner's decline in physical health following the death of a spouse.

Correct answer: B

Rationale: Dr. Dias's research findings indicate a correlation between the death of a spouse and a decline in the surviving partner's physical health. This correlation suggests a relationship between the two variables, but it does not necessarily imply a direct cause-and-effect relationship. Therefore, the correct conclusion supported by this study is option B - 'The death of a spouse is related to a decline in the surviving partner's physical health.' Option A is too direct in its causation claim, which is not proven by correlation alone. Option C reverses the cause and effect relationship suggested by the research. Option D introduces an unrelated third variable, which is not supported by the study's findings.

3. T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's __________.

• A. risk for developmental problems
• B. ability to comply with parental commands and responsiveness to touch
• C. reflexes, muscle tone, state changes, and responsiveness to stimulation
• D. heart rate, respiratory effort, reflex irritability, muscle tone, and color

Correct answer: C

Rationale: T. Berry Brazelton's Neonatal Behavioral Assessment Scale (NBAS) evaluates a newborn's reflexes, muscle tone, state changes, and responsiveness to stimulation. This assessment helps healthcare providers understand the newborn's behavioral responses and capabilities in various areas, providing valuable insights into their overall development and well-being. Choices A, B, and D are incorrect because the NBAS focuses on assessing the newborn's behavioral responses and capabilities, rather than their risk for developmental problems, compliance with commands, or physiological parameters like heart rate and respiratory effort.

4. The discontinuous view of development holds that __________.

• A. infants and preschoolers respond to the world in much the same way as adults do
• B. growth is the process of gradually augmenting the skills that were present from the beginning
• C. infants and children have unique ways of thinking, feeling, and behaving
• D. development is a smooth process limited only by a lack of information and precision

Correct answer: C

Rationale: The discontinuous view of development holds that infants and children have unique ways of thinking, feeling, and behaving. This perspective suggests that development is not a continuous or smooth process, but rather occurs in distinct stages or phases marked by qualitative differences in abilities and behaviors. This contrasts with the idea that development is a gradual augmentation of skills present from the beginning (choice B) or that infants and preschoolers respond to the world in the same way as adults (choice A). Choice D is incorrect because the discontinuous view does not consider development as a smooth process limited by a lack of information and precision. Ultimately, the discontinuous view emphasizes the distinct and evolving nature of development across the lifespan.

5. Two-year-old Eva's parents meet her assertions of independence with tolerance and understanding. They provide suitable guidance and reassurance. According to Erikson's theory, Eva will develop __________ as a result.

• A. basic trust
• B. mistrust
• C. autonomy
• D. industry

Correct answer: C

Rationale: According to Erikson's theory of psychosocial development, when parents support a child's growing independence with guidance and reassurance, the child develops a sense of autonomy. Autonomy is characterized by a growing sense of self-control, confidence, and independence. Basic trust (choice A) is associated with the first stage of Erikson's theory (trust vs. mistrust) during infancy. Mistrust (choice B) arises when a child's basic needs are not met consistently, leading to a lack of trust in the world. Industry (choice D) is related to Erikson's later stages of development and involves competence and productivity in work and tasks.

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