Nursing Elites

1. Genes ________

• A. determine how a person will behave.
• B. cause people to develop mental disorders.
• C. determine what characteristics a person will have.
• D. determine the range of characteristics a person has.

Correct answer: D

Rationale: Genes determine the range of characteristics a person has. Choice A is incorrect because genes do not solely determine behavior, as behavior is influenced by a combination of genetic and environmental factors. Choice B is incorrect because while genes can contribute to the risk of developing mental disorders, they do not directly cause them. Choice C is incorrect as genes contribute to but do not solely determine all characteristics a person will have.

2. The four parenting styles described in the text differ along two dimensions: warmth and control. The style associated with the most positive developmental outcome is best described as ________ in warmth and ________ in control.

• A. high; low
• B. low; low
• C. high; moderately high
• D. low; moderately high

Correct answer: C

Rationale: The correct answer is C: 'high in warmth and moderately high in control.' The authoritative parenting style, associated with the most positive developmental outcomes, is characterized by high levels of warmth and support coupled with moderately high levels of control. This balance allows children to develop independence while feeling secure and valued. Choices A, B, and D are incorrect because the authoritative style is not characterized by low warmth or low control, but rather high warmth and moderate control.

3. Which of the following is a common effect of persistent discrimination?

• A. Increased happiness
• B. Greater intelligence and wisdom
• C. Cardiovascular reactivity
• D. Increased consciousness

Correct answer: C

Rationale: The correct answer is C: Cardiovascular reactivity. Persistent discrimination can have negative impacts on an individual's physical health, leading to increased cardiovascular reactivity. This can manifest as higher blood pressure, heart rate, and overall stress on the cardiovascular system. Choices A, B, and D are incorrect because persistent discrimination typically does not result in increased happiness, greater intelligence and wisdom, or increased consciousness. Instead, it often leads to detrimental effects on mental and physical health.

4. 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.

5. Which therapy style requires the therapist to actively confront a client's irrational beliefs?

• A. Person-centered therapy
• B. Psychodynamic psychotherapy
• C. Electroconvulsive therapy
• D. REBT

Correct answer: D

Rationale: The correct answer is D, REBT (Rational Emotive Behavior Therapy). REBT involves actively confronting and changing irrational beliefs. Choice A, Person-centered therapy, is focused on providing a supportive and empathetic environment rather than confronting irrational beliefs. Choice B, Psychodynamic psychotherapy, emphasizes exploring unconscious processes and early life experiences rather than direct confrontation of irrational beliefs. Choice C, Electroconvulsive therapy, is a biological treatment for severe depression and other mental illnesses, not a therapy style that involves confronting irrational beliefs.

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