Nursing Elites

1. The negative outcome of Erikson's midlife stage, stagnation, focuses on __________.

• A. role confusion
• B. selflessness
• C. self-indulgence
• D. guilt and shame

Correct answer: C

Rationale: The correct answer is C: 'self-indulgence'. Stagnation in Erikson's midlife stage refers to a lack of growth and self-indulgence, leading to a feeling of unproductiveness. This contrasts with 'role confusion' (A), which is associated with Erikson's adolescence stage, 'selflessness' (B) which is a positive trait, and 'guilt and shame' (D) which are emotions typically associated with earlier stages of development.

2. When trying to soothe a crying baby, what technique do Western parents typically attempt first?

• A. Massaging the baby's body
• B. Offering a pacifier and a receiving blanket
• C. Playing recorded womb sounds or sounds of nature
• D. Lifting the baby to the shoulder and rocking or walking

Correct answer: D

Rationale: When Western parents aim to soothe a crying baby, the technique they usually try first is lifting the baby to the shoulder and rocking or walking. This method is effective because the motion and closeness provided by rocking or walking can help calm the baby and offer comfort. Choice A is incorrect as massaging the baby's body is not typically the first technique used. Choice B is incorrect as offering a pacifier and a receiving blanket may be tried after lifting the baby to the shoulder. Choice C is also incorrect as playing recorded sounds is usually not the initial technique attempted.

3. In ecological systems theory, how does Toby's move just before entering fourth grade represent a significant change in his life?

• A. Microsystem
• B. Mesosystem
• C. Exosystem
• D. Chronosystem

Correct answer: D

Rationale: In ecological systems theory, the chronosystem refers to the dimension of time and how events and transitions over time can influence an individual's development. Toby's move just before entering fourth grade represents a significant change in his life that falls under the chronosystem. The microsystem involves the immediate environments and relationships that directly influence an individual, the mesosystem relates to connections between these environments, and the exosystem includes external settings that indirectly influence the individual, such as parents' workplaces. Therefore, Toby's move best exemplifies a change in the chronosystem due to the temporal influence on his development.

4. Ecological systems theory views the person as __________.

• A. a blossoming flower whose development is a genetically determined series of events that unfold automatically
• B. developing within a complex system of relationships affected by multiple levels of the surrounding environment
• C. a social being influenced primarily by observational learning or adult modeling
• D. a computer-like system that actively codes, transforms, and organizes information

Correct answer: B

Rationale: Ecological systems theory views the person as developing within a complex system of relationships affected by multiple levels of the surrounding environment. This perspective emphasizes the interconnectedness of individuals with their social and physical environment, recognizing that development is influenced by various factors interacting at different levels of the ecological system. Choice A is incorrect because it describes a genetically determined development process, which is not the focus of ecological systems theory. Choice C is incorrect because it highlights observational learning as the primary influence on development, neglecting the broader environmental factors. Choice D is incorrect as it compares the person to a computer system, which does not align with the principles of ecological systems theory.

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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