Nursing Elites

1. Unlike those with autism spectrum disorder, those with reactive attachment disorder have a history of:

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: C

Rationale: The correct answer is C: Reactive attachment disorder. Individuals with reactive attachment disorder have a history of severe social neglect, which distinguishes it from autism spectrum disorder. Choice A, Schizoid personality disorder, is incorrect as it is not typically associated with the history described in reactive attachment disorder. Choice B, Autism spectrum disorder, is incorrect because individuals with autism spectrum disorder do not necessarily have a history of severe social neglect. Choice D, Disinhibited social engagement disorder, is also incorrect as it is a separate attachment disorder characterized by indiscriminate social behavior, not necessarily a history of neglect.

2. A predisposition toward developing a disorder is termed a __________ .

• A. Diathesis
• B. Risk factor
• C. Sufficient cause
• D. Diathesis

Correct answer: A

Rationale: A predisposition toward developing a disorder is termed a diathesis. In this context, diathesis refers to an individual's susceptibility or predisposition to developing a disorder. A diathesis is not the same as a risk factor or a sufficient cause. A risk factor is a variable that increases the likelihood of developing a disorder but is not a predisposition itself. A sufficient cause is a factor that can produce the disorder on its own, not just a predisposition.

3. 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.

4. What would a humanist most likely say about Manny's passivity?

• A. Manny will find it difficult to change because he probably has deep-seated feelings of inferiority.
• B. Manny can become more assertive once he begins to feel better about himself and recognizes that he has the ability to fulfill his potential.
• C. Manny simply needs to take an assertiveness training class in which he can learn and practice assertive behaviors.
• D. Manny should undergo analysis so that he can begin to resolve whatever unconscious conflict is at the root of his passivity.

Correct answer: B

Rationale: Humanists believe in the inherent goodness and potential of individuals. They would most likely say that Manny can become more assertive by improving his self-esteem and recognizing his abilities. Choice A is incorrect because humanists focus on self-actualization rather than deep-seated feelings of inferiority. Choice C is incorrect as it oversimplifies the issue by suggesting a training class can solve the problem without addressing underlying beliefs. Choice D is incorrect as it suggests a psychoanalytic approach, while humanists usually emphasize personal growth and self-improvement.

5. 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: Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This process helps in reducing or eliminating undesired behaviors or responses. Choice A is incorrect because extinction weakens the conditioned response by breaking the association between the conditioned stimulus and the unconditioned stimulus. Choice C is incorrect as extinction is a widely used technique in behavioral therapies for treating disorders. Choice D is incorrect as extinction aims to reduce the conditioned response, not intensify it.

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