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. Baby Azeez's limb movements are gentle. He stirs occasionally, and facial grimacing occurs. Although his eyelids are closed, occasional rapid eye movements can be seen beneath them. Azeez is most likely in which state?

• A. regular sleep
• B. drowsiness
• C. irregular sleep
• D. quiet alertness

Correct answer: C

Rationale: The description of Baby Azeez's behavior matches the characteristics of irregular sleep in a newborn. During irregular sleep, limb movements are gentle, occasional facial grimacing occurs, and rapid eye movements can be seen beneath closed eyelids. This state is also known as active sleep and is associated with dreaming in newborns. Choice A, regular sleep, is incorrect as the described behaviors are not typical of this state. Choice B, drowsiness, does not match the active movements and facial grimacing observed in Azeez. Choice D, quiet alertness, is also incorrect as it does not align with the described behaviors of limb movements, facial grimacing, and rapid eye movements.

3. __________ coping is largely emotion-focused and self-blaming, impulsive, or escapist.

• A. Avoidant
• B. Ineffective
• C. Problem-focused
• D. Flexible

Correct answer: A

Rationale: The correct answer is A: 'Avoidant.' Avoidant coping refers to strategies that involve avoiding the problem and focusing more on emotions. This type of coping mechanism can often lead to negative outcomes as individuals may engage in self-blaming, impulsive behaviors, or seek escapist routes rather than addressing the issue directly. Choice B, 'Ineffective,' is a broad term and does not specifically capture the characteristics described in the question. Choice C, 'Problem-focused,' is the opposite of avoidant coping as it involves actively addressing the issue at hand. Choice D, 'Flexible,' does not align with the description provided, as flexibility in coping involves adapting strategies based on the situation, not necessarily being emotion-focused, self-blaming, impulsive, or escapist.

4. Which statement about the newborn baby's appearance is true?

• A. Girls tend to be slightly longer and heavier than boys.
• B. Their round faces and big eyes make adults feel like picking them up.
• C. The trunk is large in comparison to the head, and the legs are straight.
• D. On average, they are 18 inches long and 5½ pounds in weight.

Correct answer: C

Rationale: The correct statement about the newborn baby's appearance is that the trunk is large in comparison to the head, and the legs are straight. This is a common characteristic of newborn babies as their proportions are different from adults. Choice A is incorrect as there is no consistent trend of girls being longer and heavier than boys at birth. Choice B is incorrect as the perception of adults wanting to pick up babies is subjective and not a universal truth. Choice D is incorrect as the average length and weight provided may not apply to all newborn babies, as there can be variations.

5. What did John Bowlby believe?

• A. Adults and more expert peers help children master culturally meaningful activities.
• B. The infant-caregiver bond has lifelong consequences for human relationships.
• C. Parents and infants are both instinctively attached to each other.
• D. Attachment patterns are difficult to study in humans.

Correct answer: B

Rationale: John Bowlby believed that the infant-caregiver bond has lifelong consequences for human relationships. This is supported by his theory of attachment, where he emphasized the importance of early attachment experiences in shaping individuals' future relationships. Choice A is incorrect as it does not reflect Bowlby's main focus on attachment theory. Choice C is incorrect as Bowlby's theory suggests that attachment is more than just instinctual. Choice D is also incorrect as Bowlby's work actually paved the way for the study of attachment patterns in humans.

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