Nursing Elites

1. 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: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.

2. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

3. You are taking part in a survey that asks about your attitudes toward physical punishment of children. Even though you believe that spanking is sometimes necessary, you answer that you are opposed to any sort of physical punishment. Which of the following terms best describes why you answered the way you did?

• A. Random responding
• B. Faking bad
• C. Placebo effect
• D. Social desirability

Correct answer: D

Rationale: The correct answer is D, social desirability. Social desirability bias occurs when respondents answer questions in a way they think will be viewed favorably by others, rather than according to their true beliefs. In this scenario, the respondent may feel pressured to provide an answer that aligns with societal norms or expectations, even if it contradicts their personal beliefs. Choices A, B, and C are incorrect. Random responding refers to answering survey questions haphazardly, without consideration. Faking bad is intentionally providing extreme or negative responses. The placebo effect is a phenomenon where a person's belief in a treatment's effectiveness produces a positive outcome, unrelated to the treatment's actual effects.

4. Which of the following characteristics best describes differences between bulimia nervosa and anorexia nervosa?

• A. Individuals with anorexia nervosa do not have as severe health risks as individuals with bulimia nervosa have.
• B. Individuals with bulimia nervosa may have a normal body weight.
• C. Individuals with anorexia nervosa have been known to binge like those with bulimia nervosa on occasion.
• D. Only those with bulimia nervosa display compensatory behaviors.

Correct answer: B

Rationale: The correct answer is B. Individuals with bulimia nervosa may maintain a normal body weight, while anorexia nervosa is often associated with severe underweight. Choice A is incorrect because individuals with anorexia nervosa actually face severe health risks due to malnutrition, electrolyte imbalances, and other complications. Choice C is incorrect as anorexia nervosa is characterized by restriction of food intake rather than binge eating. Choice D is incorrect as individuals with anorexia nervosa can also display compensatory behaviors such as excessive exercise or fasting.

5. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

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