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. Down syndrome is caused by ________.

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not by a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an additional chromosome 21 disrupts the normal course of development and leads to the characteristics associated with Down syndrome.

3. Which parenting style is associated with the most positive developmental outcome?

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

Correct answer: C

Rationale: The authoritative parenting style is associated with the most positive developmental outcomes. Authoritative parents are responsive to their children's needs while also setting clear expectations and boundaries. This balance fosters a supportive environment that allows children to develop autonomy, self-confidence, and social skills. Authoritarian parenting (choice A) is characterized by strict rules and harsh discipline, leading to less favorable outcomes. Permissive/indulgent parenting (choice B) involves being lenient and overly responsive, which can result in children lacking self-discipline. Neglectful/uninvolved parenting (choice D) is marked by a lack of responsiveness and involvement, resulting in negative developmental outcomes.

4. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

5. What are protective factors? Give an example of one and explain how it can impact a person's later functioning.

• A. Protective factors are influences that modify a person's response to environmental stressors, making adverse consequences less likely.
• B. An example of a protective factor is having a warm and caring parent, which may lead to resilience.
• C. Protective factors usually lead to resilience, the ability to adapt successfully to stressful circumstances.
• D. Protective factors always prevent the development of psychopathology.

Correct answer: B

Rationale: Protective factors are influences that modify a person's response to environmental stressors, reducing the likelihood of adverse outcomes. An example of a protective factor is having a warm and caring parent, which can foster resilience in individuals. Resilience allows individuals to adapt successfully to stressful situations. Choice A is incorrect as protective factors do not always prevent adverse consequences but reduce their likelihood. Choice C is incorrect as resilience is the outcome of protective factors, not the other way around. Choice D is incorrect as while protective factors can reduce the risk of psychopathology, they do not always prevent its development.

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