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Chapter 1: Theoretical Framework of Practice
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Multiple Choice
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Identify the choice that best completes the statement or answers the question.
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klkl 1. Temperament—a genetically influenced early form of personality—describes an infant’s pattern of
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central nervous system responses and behaviors. Among the different types of temperament, which
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one is associated with more impairment of brain functioning and, in the absence of positive,
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nurturing parenting, is a risk factor for later development of psychiatric disorders?
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A. Easy
B. Slow-to-warm-up/inhibited
C. Mixed
D. Difficult
klkl 2. According to psychosocial developmental theory, in the recently described “ninth age of man,”
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beyond the life cycle,
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A. There are no further tasks to accomplish.
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B. The tasks that are the most important are generative versus stagnation.
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C. There is an emphasis on intimacy versus isolation.
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D. Tasks include overcoming life transitions.
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klkl 3. Which attachment pattern is more likely to be found among children who have been abused?
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A. Secure
B. Inhibited
C. Disorganized
D. Avoidant
klkl 4. Nobel Prize winner Eric Kandel demonstrated that the brain
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A. Is plastic before birth but becomes hard-wired at birth
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B. Has plasticity and can change during the first 3 years of life
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C. Has plasticity that allows it to make new connections in response to learning
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D. Is unable to make new connections after age 26
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klkl 5. The primary relevance of Bowlby’s attachment theory for psychiatric advanced practice nurses is
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that
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A. Toddlers develop primitive defense mechanisms such as denial.
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B. Toddlers develop an inner working model of how adults will respond to them.
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C. Toddlers face the psychosocial task of autonomy versus shame.
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D. Toddlers develop a fear of engulfment and enmeshment.
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klkl 6. Early attachment experiences are transformed into inner working models of the self and mother by
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age
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A. 7 years klkl
B. 5 years klkl
C. 3 years klkl
D. 1 year klkl
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klkl 7. In a cantilevered model of needs such as Hansell’s model,
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A. Basic needs must be met first klkl klkl klkl klkl klkl
B. There is a hierarchy of needs klkl klkl klkl klkl klkl
C. Each need supports all other needs
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D. Self-actualization is the last need to be met klkl klkl klkl klkl klkl klkl klkl
klkl 8. klkl klkl klkl Freud’s drive theory proposes that individuals are motivated by
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A. Basic drives for survival and reproduction.
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B. Need to reduce anxiety. klkl klkl klkl
C. Need to resolve interpersonal conflicts.
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D. Basic drives for altruism. klkl klkl klkl
klkl 9. Brain plasticity, which refers to the brain’s capacity to change in response to an event,
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A. Is the same for all individuals
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B. Involves physical changes of the brain klkl klkl klkl klkl klkl
C. Is absent in older adults
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D. Is independent of genetic influence
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klkl klkl k l k l 10. It is believed that recovery can be promoted in children by all of the following except
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A. Teaching problem-solving skills klkl klkl
B. Providing social support klkl klkl
C. Limiting challenging experiences klkl klkl
D. Providing structure to daily life klkl klkl klkl klkl
klkl klkl k l k l 11. The primary focus of the biopsychosocial model is
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A. Heritability of psychiatric disorders klkl klkl klkl
B. Domains of functioning klkl klkl
C. Abnormalities of neurotransmission klkl klkl
D. Abnormalities of systems and circuits klkl klkl klkl klkl