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. The understanding of genetic influences on behavior may never be fully achieved due to ________.

• A. the ease of researching to differentiate between the effects of the environment and genes.
• B. the likelihood that most behaviors are determined by the interaction of many genes and the environment.
• C. the reliance on twin studies in genetic research.
• D. our significant understanding of how genes impact brain chemistry.

Correct answer: B

Rationale: The correct answer is B because most behaviors are influenced by the interaction of multiple genes and the environment. Choice A is incorrect because it suggests that researching the effects of the environment and genes is easy, which is not the case. Choice C is incorrect as it focuses on a specific method (twin studies) rather than the broader concept of gene-environment interaction. Choice D is incorrect as the statement implies a high level of understanding that contradicts the idea that genetic influences on behavior may never be fully understood.

3. The humanistic perspective focuses primarily upon the capacity of the individual to ________.

• A. confront the dilemma of our deaths.
• B. be driven by unconscious motives.
• C. rationally explain our behavior.
• D. engage in positive self-growth.

Correct answer: D

Rationale: The humanistic perspective, as highlighted by proponents like Carl Rogers and Abraham Maslow, emphasizes the inherent drive of individuals to achieve self-actualization and positive self-growth. It focuses on the individual's potential for growth, self-improvement, and fulfilling their highest capabilities. Choice A is incorrect as the humanistic perspective is more concerned with personal growth than with addressing the fear of death. Choice B is associated with the psychodynamic perspective, which focuses on unconscious motives. Choice C is related to cognitive-behavioral approaches that emphasize the rational understanding of behavior.

4. Unlike other types of anxiety disorders, this one is not triggered by anything specific, hence the name free-floating anxiety.

• A. Social anxiety disorder
• B. Generalized anxiety disorder
• C. Panic disorder
• D. Specific phobia

Correct answer: B

Rationale: The correct answer is B, Generalized anxiety disorder. Generalized anxiety disorder is characterized by persistent and excessive worry or anxiety that is not triggered by specific situations or objects, hence the term 'free-floating anxiety.' Social anxiety disorder (A) is characterized by fear and anxiety about social situations, panic disorder (C) involves recurrent unexpected panic attacks, and specific phobia (D) is an intense fear of a specific object or situation. Therefore, B is the most appropriate choice in the context of anxiety not being triggered by specific stimuli.

5. Which of the following is an example of telegraphic speech?

• A. A child pointed to his father's shoe and said 'daddy,' as if to convey 'daddy's shoe.'
• B. A thirsty toddler said, 'mama water.'
• C. A newborn infant asked, 'Can I have some coffee?'
• D. A baby communicated to her parents using her brain.

Correct answer: B

Rationale: The correct answer is B. Telegraphic speech is when a child uses a two-word phrase to convey a larger meaning, such as 'mama water.' Choice A is incorrect as it does not demonstrate telegraphic speech but rather a simple labeling. Choice C is incorrect as it is a complete sentence and not a two-word phrase. Choice D is also incorrect as it does not describe telegraphic speech but rather a vague statement about communication.

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