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. The outermost level of Bronfenbrenner's model is the __________.

• A. microsystem
• B. macrosystem
• C. exosystem
• D. mesosystem

Correct answer: B

Rationale: The outermost level of Bronfenbrenner's model is the macrosystem. This level refers to the broader cultural context that shapes the values, laws, customs, and resources of a particular society. It includes factors such as ideology, political systems, societal norms, and cultural influences that impact development at all other levels within the model. Choice A, microsystem, refers to the immediate environment or setting in which an individual lives and interacts. Choice C, exosystem, involves settings that individuals do not directly experience but still influence them. Choice D, mesosystem, refers to the connections between various aspects of an individual's microsystem.

3. A major strength of the information-processing approach to development is its commitment to __________.

• A. the study of imagination
• B. flexible case study interviews
• C. rigorous research methods
• D. disproving other developmental theories

Correct answer: C

Rationale: The major strength of the information-processing approach to development is its commitment to rigorous research methods. This approach emphasizes systematic observation, measurement, and experimentation to study cognitive development in individuals. By using rigorous research methods, researchers can gather reliable and valid data to better understand how information is processed in the human mind. This commitment to methodological rigor enhances the credibility and validity of the conclusions drawn within the information-processing approach to development. Choices A, B, and D are incorrect because the information-processing approach focuses on empirical research methods rather than the study of imagination, case study interviews, or disproving other developmental theories.

4. 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.

5. A __________ is a means of building schemes in which an infant who has stumbled onto a new experience caused by his or her own motor activity tries to repeat the event again and again.

• A. sensorimotor reflex
• B. circular reaction
• C. mental representation
• D. goal-directed behavior

Correct answer: B

Rationale: A circular reaction is a process where an infant repeats a specific action to explore and learn about the environment through their own motor activity. This repetition helps the infant to understand the consequences of their actions and build cognitive schemes. Sensorimotor reflex (choice A) refers to automatic responses to stimuli, not a purposeful repetition of actions to learn. Mental representation (choice C) involves internal cognitive structures to represent objects or events in the mind, which is different from the repetitive behavior described in the question. Goal-directed behavior (choice D) is purposeful and intentional, unlike the repetitive nature of circular reactions in infants' learning process.

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