Nursing Elites

1. Which of the following best describes a securely attached child in Japanese culture?

• A. A child who is dependent, emotionally restrained, and can express his feelings only in an indirect manner.
• B. A child who is independent, emotionally expressive, and can communicate well.
• C. A child who is dependent, emotionally labile, and can express his feelings only in an aggressive manner.
• D. A child who is independent, emotionally restrained, and can communicate well.

Correct answer: A

Rationale: In Japanese culture, a securely attached child is described as dependent and emotionally restrained. This means that the child relies on their caregiver for support and is able to control their emotions, expressing their feelings in a more subtle and indirect manner. Choice B is incorrect as it describes independence, which is not characteristic of a securely attached child in Japanese culture. Choice C is also incorrect as it describes emotional lability and expressing feelings aggressively, which are not typical of securely attached children. Choice D is incorrect as it combines independence with emotional restraint, which does not align with the characteristics of a securely attached child in Japanese culture.

2. John Bowlby's attachment theory emphasized ________.

• A. the social environment in forming attachments.
• B. the quality of parental care in forming attachments.
• C. the quality of early reinforcers and stimulation in forming attachments.
• D. the necessity of independence from parental figures in forming attachments.

Correct answer: B

Rationale: John Bowlby's attachment theory emphasized the quality of parental care in forming attachments. This is because Bowlby believed that a child's early experiences with their primary caregiver, especially the quality of care and responsiveness received, significantly influence the child's ability to form secure attachments. Choice A is incorrect because while the social environment plays a role, Bowlby's theory focused more on the caregiver-child relationship. Choice C is incorrect as it does not capture the central role of parental care highlighted in Bowlby's theory. Choice D is also incorrect as Bowlby's theory actually emphasized the importance of a secure attachment to parental figures for healthy emotional development.

3. 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.

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. Roger has suffered a major brain injury. As a result, he is unable to speak fluently, tends to mispronounce words, and speaks haltingly. For instance, he says 'wat' instead of 'watch' and 'tot' instead of 'talk.' What is the diagnosis?

• A. Agnosia
• B. Spatial neglect
• C. Broca's aphasia
• D. Prosopagnosia

Correct answer: C

Rationale: The correct diagnosis for Roger's condition is Broca's aphasia. Broca's aphasia is characterized by difficulty in speaking fluently and accurately, often due to brain injury. In this case, Roger's symptoms of being unable to speak fluently, mispronouncing words, and speaking haltingly align with the characteristics of Broca's aphasia. Agnosia refers to the inability to recognize or interpret sensory information, spatial neglect is the lack of awareness of one side of the body or space, and prosopagnosia is the inability to recognize faces, none of which match Roger's symptoms.

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