Nursing Elites

1. Which of the following best describes a securely attached child in Japanese culture?

• A. A child who is dependent, emotionally restrained, and can express his feelings only in an indirect manner.
• B. A child who is independent, emotionally expressive, and can communicate well.
• C. A child who is dependent, emotionally labile, and can express his feelings only in an aggressive manner.
• D. A child who is independent, emotionally restrained, and can communicate well.

Correct answer: A

Rationale: In Japanese culture, a securely attached child is described as dependent and emotionally restrained. This means that the child relies on their caregiver for support and is able to control their emotions, expressing their feelings in a more subtle and indirect manner. Choice B is incorrect as it describes independence, which is not characteristic of a securely attached child in Japanese culture. Choice C is also incorrect as it describes emotional lability and expressing feelings aggressively, which are not typical of securely attached children. Choice D is incorrect as it combines independence with emotional restraint, which does not align with the characteristics of a securely attached child in Japanese culture.

2. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?

• A. Authoritarian
• B. Permissive/indulgent
• C. Authoritative
• D. Neglectful/uninvolved

Correct answer: D

Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.

3. During which span of months or years is a child particularly responsive to specific forms of experience or influenced by their absence?

• A. Nonnormative influences
• B. Normative age-graded influence
• C. Normative history-graded influence
• D. Sensitive period

Correct answer: D

Rationale: The correct answer is 'Sensitive period.' A sensitive period refers to a specific span of time during development when a child is especially responsive to certain experiences. This period allows for optimal development in specific areas. Nonnormative influences (Choice A) are events that are irregular and unpredictable, while normative age-graded influences (Choice B) are typical events that occur in a similar manner for most people in a specific age group. Normative history-graded influences (Choice C) are events that most people in a specific culture or cohort experience at the same time.

4. Roger has suffered a major brain injury. As a result, he is unable to speak fluently, tends to mispronounce words, and speaks haltingly. For instance, he says 'wat' instead of 'watch' and 'tot' instead of 'talk.' What is the diagnosis?

• A. Agnosia
• B. Spatial neglect
• C. Broca's aphasia
• D. Prosopagnosia

Correct answer: C

Rationale: The correct diagnosis for Roger's condition is Broca's aphasia. Broca's aphasia is characterized by difficulty in speaking fluently and accurately, often due to brain injury. In this case, Roger's symptoms of being unable to speak fluently, mispronouncing words, and speaking haltingly align with the characteristics of Broca's aphasia. Agnosia refers to the inability to recognize or interpret sensory information, spatial neglect is the lack of awareness of one side of the body or space, and prosopagnosia is the inability to recognize faces, none of which match Roger's symptoms.

5. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

• A. Secure
• B. Avoidant
• C. Ambivalent
• D. Disorganized

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

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