Nursing Elites

1. 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.

2. You are taking part in a survey that asks about your attitudes toward physical punishment of children. Even though you believe that spanking is sometimes necessary, you answer that you are opposed to any sort of physical punishment. Which of the following terms best describes why you answered the way you did?

• A. Random responding
• B. Faking bad
• C. Placebo effect
• D. Social desirability

Correct answer: D

Rationale: The correct answer is D, social desirability. Social desirability bias occurs when respondents answer questions in a way they think will be viewed favorably by others, rather than according to their true beliefs. In this scenario, the respondent may feel pressured to provide an answer that aligns with societal norms or expectations, even if it contradicts their personal beliefs. Choices A, B, and C are incorrect. Random responding refers to answering survey questions haphazardly, without consideration. Faking bad is intentionally providing extreme or negative responses. The placebo effect is a phenomenon where a person's belief in a treatment's effectiveness produces a positive outcome, unrelated to the treatment's actual effects.

3. Children whose temperament is generally mild but who are hesitant about accepting new experiences are described as?

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

Correct answer: C

Rationale: The correct answer is C: 'Ambivalent.' Children with an ambivalent temperament are indeed generally mild but hesitant about accepting new experiences. This temperament is characterized by a combination of mildness and hesitance. Choice A, 'Secure,' refers to children who are comfortable with both their caregiver's presence and absence, showing a secure attachment style. Choice B, 'Avoidant,' describes children who tend to avoid or ignore their caregiver, displaying an insecure attachment style. Choice D, 'Disorganized,' represents children with inconsistent or confused behaviors towards their caregiver, exhibiting an insecure and disoriented attachment style.

4. Freud's psychosexual stage that occurs between the ages of 3 and 5 is the ________ stage.

• A. oral
• B. anal
• C. phallic
• D. genital

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5 is the phallic stage. During this stage, children focus on the genitals and start to identify with the same-sex parent while developing the superego. Choice A, the oral stage, occurs during infancy (0-1 year), where gratification is centered around the mouth. Choice B, the anal stage, occurs between the ages of 1 and 3, focusing on toilet training. Choice D, the genital stage, is the final stage in Freud's theory, occurring from puberty onwards, where the focus is on mature sexual relationships.

5. How is binge-eating disorder different from bulimia?

• A. Typically eat much smaller portions before purging the food.
• B. Do not typically purge the food they eat.
• C. Only purge their food after several binge sessions.
• D. Often resort to anorexic methods to rid themselves of the food they have eaten.

Correct answer: B

Rationale: The correct answer is B because individuals with binge-eating disorder do not typically engage in purging behavior, unlike those with bulimia. Choice A is incorrect as individuals with binge-eating disorder do not purge the food they eat, so they do not eat smaller portions before doing so. Choice C is incorrect as they do not purge their food after several binge sessions. Choice D is incorrect as individuals with binge-eating disorder do not resort to anorexic methods to rid themselves of the food they have eaten.

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