Nursing Elites

1. When the parent returned in the strange situation experiment, babies with ____ attachment tend to remain upset for long periods of time, kicking, screaming, refusing to be distracted with toys, and sometimes arching back and away from contact?

• A. Secure
• B. Avoidant
• C. Ambivalent
• D. Disorganized

Correct answer: C

Rationale: In the strange situation experiment, babies with ambivalent attachment display distress and have difficulty calming down when a parent returns. They may kick, scream, refuse toys, and show signs of physical discomfort or resistance. This behavior is characteristic of ambivalent attachment, where the infant shows mixed emotions and finds it hard to be soothed by the returning parent. Secure attachment (Choice A) refers to babies who seek comfort from the parent but can be soothed upon return. Avoidant attachment (Choice B) involves babies showing little emotion upon reunion with the parent. Disorganized attachment (Choice D) displays inconsistent or confused behaviors in the strange situation experiment.

2. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

3. How can attributional style influence the likelihood of developing depression?

• A. By fostering a positive attributional style, individuals can enhance their resilience against depression.
• B. Attributional style does not significantly influence the development of depression.
• C. By adopting a negative attributional style, individuals increase their vulnerability to depression.
• D. Attributional style influences the likelihood of developing depression by determining how individuals interpret and respond to events.

Correct answer: D

Rationale: The correct answer is D because attributional style plays a crucial role in influencing the likelihood of developing depression by shaping how individuals interpret and respond to events. A positive attributional style can indeed enhance resilience against depression by promoting adaptive coping mechanisms and positive interpretations of situations, which can buffer against the development of depressive symptoms. Conversely, a negative attributional style, characterized by attributing negative events to internal, stable, and global factors, can increase vulnerability to depression by fostering feelings of helplessness and hopelessness. Choices A and C provide accurate insights into how different attributional styles can impact the development of depression, making them incorrect. Choice B is incorrect as research indicates that attributional style does have a significant influence on the likelihood of developing depression.

4. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

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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