Nursing Elites

1. 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.

2. Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership __________ than comparison-group agemates.

• A. scored lower in impulsivity and overactivity
• B. had lower academic achievement scores
• C. showed more aggressive behavior
• D. reported less alcohol and drug use

Correct answer: D

Rationale: Adolescent children of mothers who were home-visited as part of the Nurse-Family Partnership reported less alcohol and drug use compared to their comparison-group agemates. This indicates that the program may have a positive impact in reducing risky behaviors among adolescents whose mothers received home visits. Choices A, B, and C are incorrect because the extract specifically mentions that the children reported less alcohol and drug use, and there is no mention of impulsivity, overactivity, academic achievement scores, or aggressive behavior in this context.

3. Dr. Torrez believes that how conflicts between biological drives and social expectations are resolved determines the person's ability to learn, to get along with others, and to cope with anxiety. Dr. Torrez accepts the __________.

• A. psychoanalytic perspective
• B. psychosocial theory
• C. cognitive-developmental theory
• D. social learning theory

Correct answer: A

Rationale: Dr. Torrez's belief about conflicts between biological drives and social expectations influencing a person's ability to learn, get along with others, and cope with anxiety aligns with the psychoanalytic perspective. This perspective, developed by Sigmund Freud, focuses on the unconscious mind, early childhood experiences, and the resolution of inner conflicts as important factors in shaping personality and behavior. The other choices are incorrect because psychosocial theory, cognitive-developmental theory, and social learning theory do not specifically focus on conflicts between biological drives and social expectations as central to understanding human behavior and development.

4. During which period does the germinal period occur?

• A. Occurs during the second trimester of pregnancy
• B. Lasts about six weeks
• C. Lasts about two weeks
• D. Is the final period of a 38-week pregnancy

Correct answer: C

Rationale: The germinal period lasts about two weeks and occurs during the first two weeks of pregnancy. This is the time when the fertilized egg implants into the uterus and begins to divide rapidly. It is followed by the embryonic period, which lasts from about week 3 to week 8 of pregnancy. Choice A is incorrect because the germinal period happens in the early stages of pregnancy, not the second trimester. Choice B is incorrect because the germinal period typically lasts about two weeks, not six. Choice D is incorrect because the germinal period is an early stage of pregnancy and not the final period of a 38-week pregnancy.

5. According to Jean Piaget, what is the balance between internal structures and information that children encounter in their everyday worlds?

• A. imitation
• B. adaptation
• C. cognition
• D. equilibrium

Correct answer: D

Rationale: According to Jean Piaget, equilibrium is the balance between what children already know (internal structures) and the new information they encounter. Imitation (choice A) is not directly related to this concept. Adaptation (choice B) involves adjusting to new information and is part of Piaget's theory, but it does not specifically refer to the balance between internal structures and external information. Cognition (choice C) is a broader term that encompasses mental processes, including thinking, learning, and problem-solving, but it is not specifically about the balance between internal structures and external information as equilibrium is.

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