Nursing Elites

1. If a pair of monozygotic twins raised in the same environment end up being different from one another (e.g., interests, hobbies, etc.), it is highly likely due to:

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

Correct answer: B

Rationale: The correct answer is B: Proximodistal pattern. Differences between monozygotic twins raised in the same environment are likely due to non-shared environmental influences, which lead to differences in interests, hobbies, and other individual characteristics. Choices A, C, and D are incorrect. Cephalocaudal pattern refers to the principle of development from head to toe, not relevant in explaining differences between twins. Cephamodistal pattern is not a recognized developmental term. Gene-environment correlation does not directly explain the differences between identical twins raised in the same environment.

2. In order to develop chicken pox, one must be exposed to the virus that causes chicken pox. Note, however, that not everyone who is exposed to the virus is affected. In other words, the virus is a ________

• A. risk factor.
• B. necessary cause.
• C. sufficient cause.
• D. contributory cause.

Correct answer: B

Rationale: The correct answer is B: 'necessary cause.' A necessary cause must be present for a disorder to occur. In the context of developing chicken pox, being exposed to the virus is a necessary condition for contracting the disease. Choices A, C, and D are incorrect. A 'risk factor' increases the probability of developing a disease but is not essential for its occurrence. A 'sufficient cause' can produce the outcome on its own, which is not the case with exposure to the chicken pox virus. A 'contributory cause' adds to other causes to produce an effect, but in this scenario, exposure to the virus is crucial by itself.

3. From the cognitive-behavioral perspective, an important limitation with the behavioral perspective is that ________.

• A. Behaviorists went too far in attacking the psychoanalytic perspective.
• B. Behaviorists failed to attend to the importance of mental processes.
• C. Behaviorists were too focused on explaining how abnormal behavior is acquired.
• D. Behaviorists underestimated the role of reinforcement.

Correct answer: B

Rationale: The correct answer is B because behaviorists, from the cognitive-behavioral perspective, are criticized for not considering the significance of mental processes. This limitation is a key point in the cognitive-behavioral perspective, which emphasizes the interplay between thoughts, feelings, and behaviors. Choices A, C, and D are incorrect because they do not directly address the specific limitation of failing to account for mental processes in the behavioral perspective.

4. Which of the following is NOT a culture-bound syndrome?

• A. Hikikomori
• B. Zar
• C. Hoopa
• D. Koro

Correct answer: C

Rationale: The correct answer is C, 'Hoopa,' as it is not recognized as a culture-bound syndrome. A culture-bound syndrome refers to a cluster of symptoms that are recognized and named within a specific cultural group but may not be recognized universally. Hikikomori is a culture-bound syndrome in Japan where individuals isolate themselves from social interactions. Zar is a culture-bound syndrome found in Africa and the Middle East characterized by episodes of laughing, crying, and singing. Koro is a culture-bound syndrome, primarily documented in Asian cultures, where individuals have an intense fear of genital retraction.

5. A psychological disorder is said to have an acute onset if the symptoms develop ______, while it has an insidious onset if the symptoms develop ______.

• A. Suddenly;gradually
• B. Suddenly;atypically
• C. Gradually;atypically
• D. Atypically;suddenly

Correct answer: A

Rationale: An acute onset refers to the sudden development of symptoms, whereas an insidious onset indicates a gradual progression of symptoms. Therefore, the correct answer is 'Suddenly;gradually.' The other choices are incorrect because 'atypically' does not accurately describe the onset of symptoms in this context.

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