Nursing Elites

1. The immune response is the combined work of specialized cells that neutralize or destroy __________ in the body.

• A. T cells
• B. B cells
• C. telomeres
• D. antigens

Correct answer: D

Rationale: The correct answer is D, antigens. Antigens are substances recognized by the immune system as foreign, triggering an immune response to neutralize or destroy them. In this context, T cells and B cells are specialized cells of the immune system that respond to antigens, but they are not the substances being neutralized or destroyed. Telomeres, on the other hand, are protective structures at the end of chromosomes and are not targeted for neutralization or destruction by the immune system.

2. When Baby Ian is held horizontally on his back, he sometimes makes an “embracing” motion by arching his back, extending his legs, throwing his arms outward, and then bringing his arms in toward his body. Ian is demonstrating the __________.

• A. palmar grasp
• B. Moro reflex
• C. tonic neck reflex
• D. Babinski reflex

Correct answer: B

Rationale: Baby Ian is demonstrating the Moro reflex. The Moro reflex is a normal newborn reflex that occurs when a baby feels like they are falling or losing support. It is characterized by arching the back, extending the legs, throwing the arms outward, and then bringing the arms in toward the body. This reflex is a primitive survival instinct that typically disappears around 6 months of age. Choice A, palmar grasp, involves the baby's fingers closing around an object when it touches their palm. Choice C, tonic neck reflex, involves the baby assuming a fencing position when their head is turned to one side. Choice D, Babinski reflex, is characterized by the fanning out and curling of the baby's toes when the sole of the foot is stroked.

3. Dr. Faulkner believes that directly observable events, such as stimuli and responses, are the appropriate focus of the study of development. Dr. Faulkner probably follows the __________ perspective of development.

• A. psychosexual
• B. psychosocial
• C. behaviorist
• D. cognitive-developmental

Correct answer: C

Rationale: Dr. Faulkner's focus on directly observable events, such as stimuli and responses, aligns with the behaviorist perspective of development. Behaviorism emphasizes the influence of the environment on individual behavior and learning, with a strong emphasis on observable actions rather than internal mental processes or stages of development. Choice A, psychosexual, is associated with Freud's theory focusing on stages of psychosexual development. Choice B, psychosocial, is linked to Erikson's theory of psychosocial development. Choice D, cognitive-developmental, is related to Piaget's theory emphasizing cognitive development stages.

4. Which statement about the Nurse-Family Partnership is true?

• A. It is an international program to reduce the risk of teratogens.
• B. One of its goals is to promote competent early caregiving.
• C. It is a series of childbirth classes offered at many U.S. hospitals.
• D. It provides family planning and genetic counseling to couples.

Correct answer: B

Rationale: The statement that is true about the Nurse-Family Partnership is that one of its goals is to promote competent early caregiving. The program provides support and guidance to first-time mothers to help them develop their caregiving skills and promote healthy child development. Choice A is incorrect because the program focuses on promoting healthy child development and supporting mothers, not specifically reducing the risk of teratogens. Choice C is incorrect because the Nurse-Family Partnership is not a series of childbirth classes but a program that involves home visits and support. Choice D is incorrect because the program's main focus is on supporting mothers in caregiving and child development, not primarily on family planning and genetic counseling.

5. Adults often provide indirect feedback about grammar by using __________, which restructures inaccurate speech into correct form.

• A. fast-mapping
• B. an expansion
• C. overregularization
• D. a recast

Correct answer: D

Rationale: The correct answer is 'a recast.' A recast occurs when an adult rephrases a child's incorrect speech into the accurate form, aiding in the learning of proper grammar. Choice A, 'fast-mapping,' refers to the ability to learn new words quickly; choice B, 'an expansion,' typically involves adding more information to a child's speech; choice C, 'overregularization,' is an error children make when they apply grammatical rules too broadly.

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