Nursing Elites

1. Which of the following statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

2. A major factor associated with a child's rejection by peers is ________.

• A. Overly aggressive behavior.
• B. Being too intelligent.
• C. Socioeconomic background.
• D. A lack of empathy.

Correct answer: A

Rationale: Overly aggressive behavior is often a major factor in a child's rejection by peers. Children who display overly aggressive behavior may intimidate or harm their peers, leading to social rejection. Being too intelligent or having a different socioeconomic background are not typically primary reasons for peer rejection. While empathy is important for healthy social interactions, a lack of empathy, on its own, is less likely to be a primary factor in peer rejection compared to overly aggressive behavior.

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. 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. Finding meaning in life and dealing with death form core values in which of the following perspectives?

• A. Existential
• B. Humanistic
• C. Behavioral
• D. Object Relations

Correct answer: A

Rationale: The correct answer is A: Existential. Existentialism is a philosophical perspective that emphasizes individual existence, freedom, and choice. It focuses on finding meaning in life and dealing with fundamental issues such as death. This perspective is characterized by concepts like authenticity, responsibility, and the search for purpose. Choices B, C, and D are incorrect because while they may address certain aspects of human behavior or relationships, they do not specifically emphasize the search for meaning and the confrontation with death as core values.

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