Nursing Elites

1. Which of the following psychodynamic elements of the personality can be described as impulsive and selfish?

• A. Ego
• B. Id
• C. Superego
• D. Ideal self

Correct answer: B

Rationale: The correct answer is B, Id. In psychodynamic theory, the Id is the component driven by basic, primal instincts, seeking instant gratification without consideration for consequences. It operates on the pleasure principle, aiming to fulfill desires immediately. The Superego, on the other hand, represents the internalized moral standards and ideals, while the Ego mediates between the Id and Superego, balancing impulses with societal norms. The 'Ideal self' is a concept from humanistic psychology related to one's aspirations and goals, not a component in psychodynamic theory. Therefore, choices A, C, and D are incorrect.

2. While having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, this is not the only factor that can lead to Parkinson's disease. In other words, the presence of the gene is a ________, but not a ________.

• A. risk factor; sufficient cause
• B. sufficient cause; necessary cause
• C. necessary cause; risk factor
• D. contributory cause; sufficient cause

Correct answer: B

Rationale: The correct answer is B: 'sufficient cause; necessary cause.' A sufficient cause will inevitably produce the disorder, but it is not the only factor. In this case, having the gene for Parkinson's disease is a sufficient cause, meaning it alone can lead to the development of the disease. However, it is not a necessary cause because Parkinson's disease can still develop without the presence of this gene. Choices A, C, and D are incorrect because they do not accurately describe the relationship between the gene and the development of Parkinson's disease as depicted in the question.

3. In a breech presentation, how is the infant positioned for delivery?

• A. Is too large to be delivered vaginally.
• B. Is delivered feet or bottom first.
• C. Is delivered head first.
• D. Appears face down.

Correct answer: B

Rationale: In a breech presentation, the infant is positioned to be delivered feet or bottom first. This is because the baby's pelvis or feet enter the birth canal before the head. Therefore, choice B is correct. Choices A, C, and D are incorrect because a breech presentation specifically refers to the baby being positioned feet or bottom first, not head first, face down, or being too large for vaginal delivery.

4. Barney helps his younger brother, who has just learned to cycle on his own, to navigate narrow roads and sharp turns. Vygotsky will refer to this as ________?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: C

Rationale: In this scenario, where Barney is assisting his younger brother in navigating narrow roads and sharp turns, Vygotsky would refer to this as an example of the 'mesosystem.' The mesosystem involves the interactions between different systems in a child's environment, such as family and peers. Choices A, B, and D are incorrect: A) Microsystem refers to the immediate environment where the child lives, like home and school; B) Macrosystem encompasses the larger cultural context; D) Exosystem involves external settings that indirectly influence the child.

5. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

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