Nursing Elites

1. Strict behaviorists would be most sympathetic to which one of the following statements?

• A. Human behavior is primarily caused by inherited factors.
• B. Human behavior is primarily caused by environmental factors.
• C. Human behavior is primarily caused by equal contributions of inherited and environmental factors.
• D. No one really knows the primary causes for human behavior.

Correct answer: B

Rationale: Strict behaviorists, who adhere to behaviorism, believe that human behavior is primarily influenced by environmental factors. This perspective asserts that individuals' actions and responses are shaped by their interactions with the environment, learning experiences, and external stimuli. Choice A is incorrect because strict behaviorists do not focus on inherited factors but on how behavior is learned and shaped through environmental influences. Choice C is also incorrect as behaviorists do not believe in equal contributions of inherited and environmental factors; they emphasize environmental determinants. Choice D is incorrect as behaviorists have a clear stance that behavior is influenced by environmental stimuli and learning experiences.

2. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

3. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

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

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

4. What does the diathesis-stress model entail?

• A. The diathesis-stress model suggests that stress alone is sufficient to cause a mental disorder.
• B. The diathesis-stress model involves a combination of genetic vulnerability and environmental stressors.
• C. The diathesis-stress model suggests that genetic factors alone cause mental disorders.
• D. The diathesis-stress model suggests that stressors in the environment do not affect the onset of mental disorders.

Correct answer: B

Rationale: The diathesis-stress model proposes that mental disorders develop from a combination of genetic vulnerability (the diathesis) and environmental stressors. Choice A is incorrect because it states that stress alone can cause mental disorders, which is not in line with the model. Choice C is incorrect as it simplifies the model to genetic factors alone causing mental disorders. Choice D is incorrect as it suggests that environmental stressors do not play a role in the onset of mental disorders, which contradicts the essence of the diathesis-stress model.

5. Which part of the superego develops from our experiences with rewards for proper behavior and tells us what we should do?

• A. Conscience
• B. Ego-ideal
• C. Regressing back to the anal stage
• D. Regressing back to the oral stage

Correct answer: B

Rationale: The correct answer is B, the Ego-ideal. The Ego-ideal is a subsystem of the superego that develops from experiences with rewards for proper behavior. It guides individuals on what they should do, setting standards and ideals for behavior. Choice A, Conscience, represents the part of the superego that focuses on what one should not do, based on experiences with punishment for improper behavior. Choices C and D, regressing back to the anal and oral stages respectively, are irrelevant to the development of the superego's components and are not related to experiences with rewards for proper behavior.

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