Nursing Elites

1. 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.

2. While out for a walk, you come across a ferocious dog. You feel your heart beating faster and your palms begin to sweat. Which part of the peripheral nervous system is activated in this situation?

• A. Autonomic
• B. Sympathetic
• C. Parasympathetic
• D. Somatic

Correct answer: B

Rationale: The correct answer is B: Sympathetic. When encountering a stressful situation like a ferocious dog, the sympathetic nervous system is activated, leading to the 'fight or flight' response. This response triggers physiological changes like increased heart rate, sweating, and heightened alertness to prepare the body to deal with the perceived threat. The autonomic nervous system (Choice A) encompasses both the sympathetic and parasympathetic divisions, so it's a broader category. The parasympathetic nervous system (Choice C) is responsible for the body's 'rest and digest' functions, which are opposite to the physiological changes seen in a stress response. The somatic nervous system (Choice D) controls voluntary movements and sensory information, not the physiological responses seen in a stress reaction.

3. Distinguish between necessary, sufficient, and contributory causes of abnormal behavior.

• A. Necessary causes are required for a disorder to develop but do not guarantee it.
• B. Sufficient causes guarantee a disorder will develop, but they are not required.
• C. Contributory causes increase the likelihood of a disorder but are neither necessary nor sufficient.
• D. Contributory causes are conditions that guarantee the occurrence of a disorder.

Correct answer: A

Rationale: In understanding abnormal behavior, it is crucial to differentiate between necessary, sufficient, and contributory causes. Necessary causes are those that are required for a disorder to develop, meaning that without them, the disorder would not occur. However, their presence does not guarantee the occurrence of the disorder. Sufficient causes, on the other hand, are those that alone can guarantee the development of a disorder, but they are not the only factors that can lead to it. Contributory causes are factors that increase the likelihood of a disorder but are not essential on their own nor do they guarantee the disorder. Therefore, choice A is the correct answer as it accurately describes the role of necessary causes in the development of abnormal behavior. Choices B, C, and D are incorrect as they misrepresent the definitions and roles of sufficient and contributory causes in causing abnormal behavior.

4. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?

• A. Generalized anxiety disorder
• B. Bipolar disorder
• C. Major depressive disorder
• D. Obsessive-compulsive disorder

Correct answer: C

Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.

5. The process of ________ is used to increase the probability that a behavior will occur.

• A. operant conditioning
• B. reinforcement
• C. classical conditioning
• D. punishment

Correct answer: B

Rationale: The correct answer is reinforcement. Reinforcement involves providing a consequence that increases the likelihood of a behavior being repeated. Operant conditioning (Choice A) refers to learning through consequences for behavior, which includes reinforcement and punishment. Classical conditioning (Choice C) involves forming associations between stimuli and involuntary responses. Punishment (Choice D) involves providing a consequence that decreases the likelihood of a behavior being repeated. In this context, the question specifically asks about a process that increases the probability of a behavior occurring, aligning with the concept of reinforcement.

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