Nursing Elites

1. Unlike Jean Piaget, Lev Vygotsky viewed cognitive development as a _________ process.

• A. socially mediated
• B. genetically predictable
• C. preoperational
• D. neurological

Correct answer: A

Rationale: Lev Vygotsky viewed cognitive development as a socially mediated process, emphasizing the role of social interactions and cultural influences in shaping a child's cognitive development. This is in contrast to Jean Piaget, who focused more on individual interactions with the environment. Vygotsky believed that cognitive development is significantly influenced by social interactions with others, highlighting the importance of collaborative learning and cultural context. Choices B, C, and D are incorrect as they do not align with Vygotsky's perspective on cognitive development.

2. Kathryn would like to give birth in a medical facility that permits maternal control over labor and delivery, including choice of delivery positions, and allows the presence of family members and friends. Kathryn should consider giving birth at a __________.

• A. private home
• B. local hospital
• C. doula center
• D. freestanding birth center

Correct answer: D

Rationale: Kathryn should consider giving birth at a freestanding birth center. Freestanding birth centers provide a setting where women can have more control over their labor and delivery experience, including the choice of delivery positions, the presence of family members and friends, and involvement in decision-making throughout the process. These centers offer a more home-like environment compared to hospitals while still providing access to medical support if needed. Choices A (private home) and B (local hospital) do not necessarily guarantee the level of control and facilities Kathryn seeks. While a doula center (Choice C) can provide additional support during labor, it may not offer the same level of medical facilities and control over the birthing process as a freestanding birth center.

3. Which statement about epidural analgesia is true?

• A. It numbs the entire lower half of the body.
• B. It limits pain reduction to the pelvic region.
• C. It strengthens uterine contractions.
• D. It shortens the length of labor.

Correct answer: B

Rationale: The correct statement about epidural analgesia is that it limits pain reduction to the pelvic region by blocking nerve signals from that specific area, providing pain relief during labor and delivery. Choice A is incorrect because epidural analgesia does not numb the entire lower half of the body. Choice C is incorrect because epidural analgesia does not strengthen uterine contractions; in fact, it may sometimes weaken them. Choice D is incorrect because epidural analgesia does not shorten the length of labor; it can sometimes prolong labor.

4. During prenatal development, the ectoderm becomes the __________.

• A. muscles and skeleton
• B. nervous system and skin
• C. circulatory system and other internal organs
• D. digestive system, lungs, urinary tract, and glands

Correct answer: B

Rationale: The correct answer is B: nervous system and skin. The nervous system, which includes the brain, spinal cord, and nerves, as well as the skin, develop from the ectoderm layer of cells during prenatal development. Choice A is incorrect because muscles and skeleton develop from mesoderm. Choice C is incorrect because the circulatory system and other internal organs develop from mesoderm and endoderm. Choice D is incorrect because the digestive system, lungs, urinary tract, and glands develop from endoderm.

5. Today, Albert Bandura's theory stresses the importance of __________.

• A. behavior modification
• B. punishment
• C. cognition
• D. reinforcement

Correct answer: C

Rationale: Albert Bandura's theory stresses the importance of cognition. Bandura's Social Learning Theory emphasizes the role of cognitive processes in learning and behavior, including the influence of observation, modeling, and mental representations. This theory highlights how individuals learn through observation and imitation of others, as well as their own thought processes and beliefs. Choices A, B, and D are incorrect because while behavior modification, punishment, and reinforcement are aspects related to learning theories, they are not the primary focus of Bandura's theory, which revolves around cognition and social learning.

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