Nursing Elites

1. Distinguish between necessary, sufficient, and contributory causes of abnormal behavior.

• A. Necessary causes are required for a disorder to develop but do not guarantee it.
• B. Sufficient causes guarantee a disorder will develop, but they are not required.
• C. Contributory causes increase the likelihood of a disorder but are neither necessary nor sufficient.
• D. Contributory causes are conditions that guarantee the occurrence of a disorder.

Correct answer: A

Rationale: In understanding abnormal behavior, it is crucial to differentiate between necessary, sufficient, and contributory causes. Necessary causes are those that are required for a disorder to develop, meaning that without them, the disorder would not occur. However, their presence does not guarantee the occurrence of the disorder. Sufficient causes, on the other hand, are those that alone can guarantee the development of a disorder, but they are not the only factors that can lead to it. Contributory causes are factors that increase the likelihood of a disorder but are not essential on their own nor do they guarantee the disorder. Therefore, choice A is the correct answer as it accurately describes the role of necessary causes in the development of abnormal behavior. Choices B, C, and D are incorrect as they misrepresent the definitions and roles of sufficient and contributory causes in causing abnormal behavior.

2. What are influences that are unusual events with a major impact on individual lives because they disrupt the expected sequence of the life cycle?

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

Correct answer: A

Rationale: Nonnormative influences refer to unusual events that have a significant impact on individuals' lives by disrupting the typical life cycle. They are events that are not typical for a specific age or cohort. Normative history-graded influences (choice B) are common influences shared by a specific generation due to historical circumstances. Normative age-graded influences (choice C) are typical events that occur at a particular age for most people. A sensitive period (choice D) is a biologically determined time during which specific experiences have a lasting impact on development.

3. Kai and Ken received their Christmas gifts from their parents. Although their gifts vary in many characteristics, the two compared their gifts based on size. This tendency among children is known as:

• A. Semiotic
• B. Abstraction
• C. Preoperational
• D. Overextension

Correct answer: D

Rationale: The correct answer is D, Overextension. Overextension happens when children compare objects or experiences based on one characteristic, such as size. Choices A, B, and C are incorrect. Semiotic refers to the study of signs and symbols; Abstraction is the process of thinking about something as a general concept rather than a specific example; Preoperational is a stage in Piaget's theory of cognitive development, not related to comparing gifts based on size.

4. Why is it difficult to determine the nature of the relationship between divorce and the psychological functioning of family members?

• A. Cause and effect cannot be determined as preexisting behavioral abnormalities in either the parents or the children may make divorce more likely.
• B. The findings have been too inconsistent to draw any conclusions.
• C. While the effects of divorce are negative on children, the effects on the spouses are generally positive.
• D. Due to modern acceptance of divorce, there has been an ongoing decrease in the negative effects of divorce.

Correct answer: A

Rationale: The correct answer is A because it highlights a crucial factor that makes it challenging to establish a clear cause and effect relationship between divorce and the psychological functioning of family members. Preexisting behavioral abnormalities in either the parents or the children may influence both the likelihood of divorce and the psychological functioning of family members. Choice B is incorrect as it generalizes the findings without specifying the key issue of preexisting conditions. Choice C is incorrect as it oversimplifies the effects of divorce on family members. Choice D is incorrect as it presents a broad statement without addressing the complexities involved in determining the effects of divorce.

5. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

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