Nursing Elites

1. What is object-relations theory?

• A. It is the theory that focuses on observable behaviors only.
• B. It is a newer psychodynamic theory focusing on how individuals interact with others and their internalized relationships.
• C. It is the theory that emphasizes the importance of cognitive processes in shaping behavior.
• D. It is a cognitive-behavioral theory focused on changing maladaptive thought patterns.

Correct answer: B

Rationale: Object-relations theory is a psychodynamic theory that focuses on how individuals interact with others and their internalized relationships. Choice A is incorrect because object-relations theory goes beyond observable behaviors to explore internalized relationships. Choice C is incorrect because object-relations theory does not primarily emphasize cognitive processes. Choice D is incorrect because object-relations theory is not a cognitive-behavioral theory focused on changing thought patterns.

2. A lack of social skills, poor school performance, and moodiness have all been associated with which of the following parenting styles?

• A. Authoritarian
• B. Permissive/indulgent
• C. Authoritative
• D. Neglectful/uninvolved

Correct answer: D

Rationale: The correct answer is D, Neglectful/uninvolved. This parenting style is associated with a lack of social skills, poor school performance, and moodiness due to the lack of parental involvement and emotional support. Authoritarian parenting (choice A) is characterized by strict rules and high demands, not necessarily linked to these issues. Permissive/indulgent parenting (choice B) involves few rules and high responsiveness, which may not directly lead to these problems. Authoritative parenting (choice C) combines high demands with emotional support and is actually linked to positive outcomes such as good school performance and social skills.

3. What are protective factors? Give an example of one and explain how it can impact a person's later functioning.

• A. Protective factors are influences that modify a person's response to environmental stressors, making adverse consequences less likely.
• B. An example of a protective factor is having a warm and caring parent, which may lead to resilience.
• C. Protective factors usually lead to resilience, the ability to adapt successfully to stressful circumstances.
• D. Protective factors always prevent the development of psychopathology.

Correct answer: B

Rationale: Protective factors are influences that modify a person's response to environmental stressors, reducing the likelihood of adverse outcomes. An example of a protective factor is having a warm and caring parent, which can foster resilience in individuals. Resilience allows individuals to adapt successfully to stressful situations. Choice A is incorrect as protective factors do not always prevent adverse consequences but reduce their likelihood. Choice C is incorrect as resilience is the outcome of protective factors, not the other way around. Choice D is incorrect as while protective factors can reduce the risk of psychopathology, they do not always prevent its development.

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. What is the sequence in which growth starts at the center of the body and moves toward the extremities?

• A. Cephalocaudal pattern
• B. Proximodistal pattern
• C. Cephamodistal pattern
• D. Gene-environment correlation

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. This pattern describes growth starting at the center of the body and moving towards the extremities. Choice A, Cephalocaudal pattern, refers to growth starting from the head and moving downwards, which is not the sequence described in the question. Choice D, Gene-environment correlation, does not relate to the sequential pattern of growth described in the question, making it incorrect.

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