Nursing Elites

1. Self-esteem takes on a hierarchical structure in __________.

• A. toddlerhood
• B. preschool
• C. middle childhood
• D. adolescence

Correct answer: C

Rationale: In middle childhood, self-esteem becomes more differentiated and organized into a hierarchy based on various domains of competence. This period marks a time when children start to compare their abilities in different areas, such as academic performance, social skills, and physical abilities. Toddlerhood and preschool years are characterized by the development of basic self-awareness and self-concept, but self-esteem hierarchy typically emerges later in middle childhood and further solidifies in adolescence as individuals navigate complex social dynamics and personal identities.

2. Maryann is pregnant and works in a smoke-filled environment. What can you tell her about passive smoking?

• A. The negative effects of smoking are only evident in children born to heavy smokers.
• B. Passive smoking is related to low birth weight, infant death, and childhood respiratory illnesses.
• C. Smoke-filled environments are harmful to expectant mothers, but not to their unborn children.
• D. The effects of passive smoking are not yet known.

Correct answer: B

Rationale: Passive smoking, also known as secondhand smoke, can have harmful effects on pregnancies. Research has shown that exposure to smoke-filled environments during pregnancy is linked to low birth weight, infant death, and childhood respiratory illnesses. Pregnant women should avoid exposure to secondhand smoke to protect the health of their unborn babies. Choice A is incorrect because passive smoking affects both the mother and the unborn child, not just children born to heavy smokers. Choice C is incorrect as it underestimates the risks of smoke-filled environments on unborn children. Choice D is incorrect as research has already established the harmful effects of passive smoking on pregnancies.

3. Which country does not rank well on any key measure of children's health and well-being?

• A. Sweden
• B. Spain
• C. Australia
• D. The United States

Correct answer: D

Rationale: The United States is the correct answer as it ranks poorly in measures of children's health and well-being compared to other developed nations. According to the extract provided, the United States does not perform well in this aspect. Choices A, B, and C are incorrect as there is no information provided suggesting that Sweden, Spain, or Australia do not rank well on key measures of children's health and well-being.

4. Dr. Whiren studies how culture is transmitted to the next generation. Dr. Whiren’s research best aligns with the perspective of which theorist?

• A. Jean Piaget
• B. John Bowlby
• C. Lev Vygotsky
• D. Erik Erikson Answer: C Page Ref: 22 Skill Level: Apply Topic: Recent Theoretical Perspectives Difficulty Level: Difficult

Correct answer: C

Rationale: Dr. Whiren's study on how culture is transmitted to the next generation aligns best with the perspective of Lev Vygotsky. Vygotsky was a developmental psychologist who emphasized the importance of social interactions and cultural influences in shaping cognitive development. He believed that children learn through interactions with others and that culture plays a significant role in this learning process.

5. What is one strength of the cross-sectional design?

• A. It provides evidence about individual trends.
• B. It cannot be threatened by cohort effects.
• C. It is not plagued with dropout or practice effects.
• D. It permits longitudinal comparisons. Answer: C Page Ref: 34 Skill Level: Understand Topic: Studying Development Difficulty Level: Moderate

Correct answer: C

Rationale: One strength of the cross-sectional design is that it is not plagued with dropout or practice effects. This is because cross-sectional studies assess different individuals at the same point in time, eliminating the risk of participants dropping out or improving due to repeated measures.

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