Nursing Elites

1. Piaget's _________ stage is the most complex period of development.

• A. sensorimotor
• B. preoperational
• C. concrete operational
• D. formal operational

Correct answer: D

Rationale: The formal operational stage in Piaget's theory is characterized by abstract reasoning, hypothetical thinking, and logical reasoning. This stage represents the most complex period of cognitive development according to Piaget. Choices A, B, and C refer to earlier stages in Piaget's theory and do not involve the level of abstract thinking and logical reasoning seen in the formal operational stage.

2. Infants engage in __________ by actively seeking emotional information from a trusted person in an uncertain situation.

• A. self-control
• B. give-and-take
• C. emotional self-regulation
• D. social referencing

Correct answer: D

Rationale: The correct answer is 'social referencing.' Social referencing is a behavior where infants seek emotional information from a trusted person, usually a caregiver, to determine how to respond in uncertain situations. This process helps infants regulate their emotions and behaviors based on the cues they receive from the trusted individual. Choices A, B, and C are incorrect because self-control, give-and-take, and emotional self-regulation do not specifically involve seeking emotional information from others in uncertain situations, as social referencing does.

3. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

4. What is a characteristic of structured interviews?

• A. Do not yield the same depth of information as a clinical interview
• B. Are flexible because questions are phrased differently for each participant
• C. Bring together a wide range of information on one person
• D. Tell researchers little about the reasoning behind participants' responses

Correct answer: A

Rationale: The correct answer is A. Structured interviews do not yield the same depth of information as a clinical interview because they involve a set of standardized questions that are asked in the same way to all participants. This lack of flexibility may limit the depth and richness of the responses obtained compared to a more open-ended clinical interview. Choices B, C, and D are incorrect because structured interviews are not flexible in question phrasing, do not necessarily bring together a wide range of information on one person, and can provide insights into participants' reasoning behind responses depending on the design of the structured questions.

5. 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.

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