Nursing Elites

1. 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.

2. ______________ are conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it.

• A. Risk factors
• B. Contributory causes
• C. Sufficient causes
• D. Protective factors

Correct answer: B

Rationale: The correct term for conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it is 'Contributory causes.' Risk factors (Choice A) are conditions that increase the likelihood of a negative outcome but do not imply causation. Sufficient causes (Choice C) are conditions that guarantee the occurrence of a disorder by themselves. Protective factors (Choice D) decrease the likelihood of a disorder rather than increasing it.

3. Dr. Kali works with clients to help them learn deep relaxation. Next, he has them list their fears from least to most anxiety-provoking. Finally, Dr. Kali slowly exposes his clients to each of their fears and assists them in gaining control of their anxiety. His approach is best known as?

• A. Systematic desensitization
• B. Aversion therapy
• C. Flooding
• D. Fear therapy

Correct answer: A

Rationale: The correct answer is A, systematic desensitization. This therapy involves a step-by-step exposure to feared stimuli, helping individuals manage and reduce their anxiety. In this case, Dr. Kali's method of listing fears from least to most anxiety-provoking and gradually exposing clients to them aligns with the principles of systematic desensitization. Choices B, C, and D are incorrect. Aversion therapy involves associating an undesirable behavior with an unpleasant stimulus, flooding involves immediate and intense exposure to feared stimuli, and 'fear therapy' is a broad term that does not specifically describe the systematic exposure and relaxation techniques used in systematic desensitization.

4. How is pruning best defined?

• A. The process of eliminating unused synapses
• B. The process of synapse development
• C. The connection between neurons
• D. Fatty sheath that wraps around neurons and enables them to transmit information more rapidly

Correct answer: A

Rationale: Pruning is the process of eliminating unused synapses in the brain. This process helps the brain to become more efficient by strengthening important connections and eliminating unnecessary ones. Choice B is incorrect because pruning is about eliminating synapses, not developing them. Choice C is incorrect as it refers to the general concept of connections between neurons, not specifically about pruning. Choice D is incorrect as it describes the myelin sheath, which is responsible for rapid transmission of information along neurons, not pruning.

5. When the parent returned in the strange situation experiment, babies with ____ attachment tend to remain upset for long periods of time, kicking, screaming, refusing to be distracted with toys, and sometimes arching back and away from contact?

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

Correct answer: C

Rationale: In the strange situation experiment, babies with ambivalent attachment display distress and have difficulty calming down when a parent returns. They may kick, scream, refuse toys, and show signs of physical discomfort or resistance. This behavior is characteristic of ambivalent attachment, where the infant shows mixed emotions and finds it hard to be soothed by the returning parent. Secure attachment (Choice A) refers to babies who seek comfort from the parent but can be soothed upon return. Avoidant attachment (Choice B) involves babies showing little emotion upon reunion with the parent. Disorganized attachment (Choice D) displays inconsistent or confused behaviors in the strange situation experiment.

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