Nursing Elites

1. How does the diathesis-stress model explain the onset of mental disorders?

• A. Stress alone is sufficient to cause mental disorders.
• B. Both genetic vulnerability and environmental stress are needed to trigger a disorder.
• C. Only genetic factors cause mental disorders.
• D. Environmental stressors alone can cause mental disorders.

Correct answer: B

Rationale: The diathesis-stress model explains that the onset of mental disorders results from the interaction of genetic vulnerability (diathesis) and environmental stress. Choice A is incorrect because stress alone is not sufficient, according to the model. Choice C is incorrect as it oversimplifies by attributing mental disorders solely to genetic factors. Choice D is incorrect because the model emphasizes the joint contribution of genetic predisposition and environmental stress.

2. 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.

3. Undercontrolled behavior tends to be seen in American children, whereas overcontrolled behavior is seen in Thai children.

• A. Aggressive behavior; calm behavior
• B. Overcontrolled behavior; undercontrolled behavior
• C. Undercontrolled behavior; overcontrolled behavior
• D. Equal behavioral traits in both cultures.

Correct answer: C

Rationale: The correct answer is C: 'Undercontrolled behavior; overcontrolled behavior.' The question highlights a cultural difference in behavior tendencies between American and Thai children. American children are usually characterized by undercontrolled behavior, while Thai children tend to exhibit overcontrolled behavior. Choice A (Aggressive behavior; calm behavior) is incorrect as the question does not mention aggressive or calm behavior as the contrasting traits between the two groups. Choice B (Overcontrolled behavior; undercontrolled behavior) is incorrect because the described behavior patterns are reversed based on the question's context. Choice D (Equal behavioral traits in both cultures) is incorrect as the question explicitly states differing behavior patterns in American and Thai children.

4. Etiology refers to ________

• A. a condition that tends to maintain maladaptive behavior.
• B. the causal pattern of a disorder.
• C. a predisposition toward developing a disorder.
• D. a condition that makes it less likely a person will experience the negative consequences of stress.

Correct answer: B

Rationale: Etiology refers to the causal pattern of a disorder, explaining the factors contributing to the development of a specific condition. Choice A is incorrect as it describes a condition that maintains maladaptive behavior, which is not the definition of etiology. Choice C is incorrect as it refers to a predisposition, which is more related to risk factors rather than the cause itself. Choice D is incorrect as it discusses a condition that reduces the negative consequences of stress, which is not directly related to the cause of a disorder.

5. 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.

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