Nursing Elites

1. 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: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.

2. What are the potential effects of childhood trauma on adult behavior?

• A. Childhood trauma is typically overcome by adulthood.
• B. Childhood trauma can have long-lasting effects on adult behavior.
• C. Childhood trauma has minimal impact on adult behavior.
• D. Childhood trauma is easily overcome with age.

Correct answer: B

Rationale: Childhood trauma can have profound and lasting effects on behavior and mental health in adulthood. It can lead to various issues such as anxiety, depression, PTSD, and difficulties in forming relationships. Choice A is incorrect because childhood trauma doesn't automatically disappear with age. Choice C is incorrect as research shows that childhood trauma can significantly impact adult behavior. Choice D is incorrect as overcoming childhood trauma is usually a complex and challenging process that may require therapy and support.

3. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

4. Which disorder is characterized by a pattern of behavior that involves culturally inappropriate, overly familiar behavior with relative strangers?

• A. Schizoid personality disorder
• B. Autism spectrum disorder
• C. Reactive attachment disorder
• D. Disinhibited social engagement disorder

Correct answer: D

Rationale: Disinhibited social engagement disorder is the correct answer because it is characterized by a pattern of behavior involving culturally inappropriate and overly familiar behavior with relative strangers. This disorder is marked by a lack of social boundaries and caution when interacting with unfamiliar individuals. Schizoid personality disorder (Choice A) is characterized by a lack of interest in social relationships, Autism spectrum disorder (Choice B) involves challenges with social interactions and communication, and Reactive attachment disorder (Choice C) is typically associated with difficulty forming emotional bonds with caregivers, not with overly familiar behavior with strangers.

5. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

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