Nursing Elites

1. Terrance, whose birth mother drank heavily throughout pregnancy, has a thin upper lip, short eyelid openings, a small head, and a smooth philtrum. His physical growth has been slow, and he shows impairment in memory, attention span, motor coordination, and social skills. Terrance has __________.

• A. fetal alcohol syndrome
• B. partial fetal alcohol syndrome
• C. alcohol-related neurodevelopmental disorder
• D. cytomegalovirus

Correct answer: A

Rationale: Terrance exhibits a combination of physical abnormalities like a thin upper lip, short eyelid openings, a small head, and a smooth philtrum, along with developmental delays and cognitive impairments. These characteristics are indicative of fetal alcohol syndrome (FAS), which is caused by maternal alcohol consumption during pregnancy. FAS is a severe condition resulting from prenatal alcohol exposure and is characterized by a range of physical, cognitive, and behavioral issues. Choice A, fetal alcohol syndrome, is the correct answer as it aligns with Terrance's symptoms and the effects of maternal alcohol consumption during pregnancy. Choices B, C, and D are incorrect because they do not encompass the full spectrum of symptoms and impairments presented by Terrance, which are specific to fetal alcohol syndrome.

2. Vygotsky saw ______ play as the ideal social context for fostering cognitive development in early childhood.

• A. make-believe
• B. sensorimotor
• C. block
• D. parallel

Correct answer: A

Rationale: Vygotsky viewed make-believe play as the ideal social context for fostering cognitive development in early childhood. Make-believe play encourages children to explore various roles and scenarios, promoting cognitive and social development. Sensorimotor play focuses on physical interactions with the environment, while block play involves building and construction activities. Parallel play refers to children playing alongside each other without direct interaction, which is not the type of play Vygotsky emphasized for cognitive development.

3. Critics worry that fetal monitoring __________.

• A. numbs the entire lower half of the body, making it difficult to feel contractions
• B. is not helpful in detecting hidden problems with the baby
• C. identifies babies as in danger who, in fact, are not
• D. increases the likelihood of infant brain damage

Correct answer: C

Rationale: Critics worry that fetal monitoring may identify babies as in danger who, in fact, are not. This can lead to unnecessary interventions and stress for the parents. It is important to carefully consider the accuracy and benefits of fetal monitoring to avoid unnecessary harm to both the mother and the baby. Choice A is incorrect because fetal monitoring does not cause numbness in the lower half of the body. Choice B is incorrect as fetal monitoring is helpful in detecting hidden problems with the baby. Choice D is incorrect as there is no direct link between fetal monitoring and an increased likelihood of infant brain damage.

4. 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.

5. As school-age children move into adolescence, self-concept is increasingly vested in feedback from __________.

• A. close friends
• B. family members
• C. younger children
• D. the inner self

Correct answer: A

Rationale: During adolescence, individuals start to rely more on feedback from close friends to develop their self-concept. Close friends play a significant role during this transitional period as they provide peer validation, support, and influence. Family members, although important, may not hold the same level of influence on self-concept during adolescence as close friends do. Younger children are unlikely to provide the necessary feedback and validation needed during this developmental stage. While self-reflection and understanding the inner self are vital for personal growth, during adolescence, external feedback from close friends tends to have a more pronounced impact on shaping self-concept.

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