Nursing Elites

1. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

2. Scientific research has demonstrated the __________ parenting style is most likely to lead to healthy psychological development in children.

• A. Authoritarian
• B. Permissive
• C. Authoritative
• D. Neglectful

Correct answer: C

Rationale: Scientific research has demonstrated that the authoritative parenting style is most likely to lead to healthy psychological development in children. Authoritative parents are responsive to their children's emotional needs, set clear boundaries, and encourage independence. This balance fosters a positive environment for children to thrive emotionally and psychologically. Authoritarian parenting (choice A) focuses on strict rules without much warmth, which can lead to obedience but may hinder emotional development. Permissive parenting (choice B) lacks structure and rules, potentially resulting in children feeling insecure. Neglectful parenting (choice D) is characterized by a lack of responsiveness and involvement, leading to various negative outcomes for the child's development.

3. 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.

4. 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.

5. Cross-cultural research on stress demonstrates that ________.

• A. Depression is a common response to life challenges in all countries studied.
• B. Stress rarely leads to any evidence of illness in non-Western cultures.
• C. Responses to stress vary cross-culturally.
• D. Culture-specific reactions are not seen to respond to alterations in the environment.

Correct answer: C

Rationale: Cross-cultural research on stress demonstrates that responses to stress vary cross-culturally. Choice A is incorrect because depression being a common response in all countries studied is not supported by cross-cultural research findings. Choice B is incorrect as it generalizes that stress rarely leads to illness in non-Western cultures, which is not universally true. Choice D is incorrect as culture-specific reactions can indeed respond to alterations in the environment, as observed in various cross-cultural studies.

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