Nursing Elites

1. 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 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 extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

2. How do socioeconomic factors influence mental health?

• A. Socioeconomic factors have no impact on mental health.
• B. Socioeconomic factors are the primary determinants of mental health.
• C. Socioeconomic factors are irrelevant to mental health.
• D. Socioeconomic factors can exacerbate but not cause mental health issues.

Correct answer: B

Rationale: Socioeconomic factors are indeed primary determinants of mental health. These factors influence mental health by impacting access to resources, stress levels, and overall well-being. Choice A is incorrect as socioeconomic factors do have a significant impact on mental health. Choice C is incorrect as socioeconomic factors play a crucial role in mental health outcomes. Choice D is incorrect as socioeconomic factors can both exacerbate and cause mental health issues.

3. Who took the position that organisms tend to repeat responses that lead to positive outcomes and tend not to repeat responses that lead to neutral or negative outcomes?

• A. Sigmund Freud
• B. B.F. Skinner
• C. Carl Rogers
• D. Abraham Maslow

Correct answer: B

Rationale: The correct answer is B.F. Skinner. Skinner proposed the theory of operant conditioning, where behavior is shaped by its consequences. Positive outcomes increase the likelihood of a behavior being repeated, while neutral or negative outcomes decrease it. Sigmund Freud (choice A) is known for his psychoanalytic theory, Carl Rogers (choice C) for person-centered therapy, and Abraham Maslow (choice D) for the hierarchy of needs.

4. What is extinction and how might it be used in treating a disorder?

• A. Extinction strengthens the conditioned response by continuously pairing the conditioned stimulus with the unconditioned stimulus.
• B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus.
• C. Extinction is ineffective and is not used in treating disorders.
• D. Extinction is the process of intensifying the conditioned response by pairing the conditioned stimulus with a stronger unconditioned stimulus.

Correct answer: B

Rationale: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.

5. Which of the following perspectives focuses on social determinants of behavior?

• A. The attachment perspective
• B. The interpersonal perspective
• C. The humanistic perspective
• D. The existential perspective

Correct answer: B

Rationale: The interpersonal perspective focuses on social determinants of behavior, emphasizing the impact of social interactions, relationships, and communication on an individual's behavior. This perspective looks at how people's behavior is influenced by their interactions with others and the social environment. Choices A, C, and D are incorrect because they do not primarily focus on social determinants of behavior. The attachment perspective is concerned with emotional bonds between individuals, the humanistic perspective emphasizes personal growth and self-fulfillment, and the existential perspective focuses on individual freedom and responsibility in creating meaning in life.

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