Question 1

The primary focus of the biopsychosocial model is

Accepted Answer

A)   Heritability of psychiatric disorders
B)   Domains of functioning
C)   Abnormalities of neurotransmission
D)   Abnormalities of systems and circuits B

Question 2

Which attachment pattern is more likely to be found among children who have been abused?

Accepted Answer

A)   Secure
B)   Inhibited
C)   Disorganized
D)   Avoidant C

Question 3

It is believed that recovery can be promoted in children by all of the following except

Accepted Answer

A)   Teaching problem-solving skills
B)   Providing social support
C)   Limiting challenging experiences
D)   Providing structure to daily life C

Question 4

Brain plasticity, which refers to the brain's capacity to change in response to an event,

Accepted Answer

A)   Is the same for all individuals
B)   Involves physical changes of the brain
C)   Is absent in older adults
D)   Is independent of genetic influence

Question 5

In a cantilevered model of needs such as Hansell's model,

Accepted Answer

A)   Basic needs must be met first
B)   There is a hierarchy of needs
C)   Each need supports all other needs
D)   Self-actualization is the last need to be met

Question 6

Nobel Prize winner Eric Kandel demonstrated that the brain

Accepted Answer

A)   Is plastic before birth but becomes hard-wired at birth
B)   Has plasticity and can change during the first 3 years of life
C)   Has plasticity that allows it to make new connections in response to learning
D)   Is unable to make new connections after age 26

Question 7

Freud's drive theory proposes that individuals are motivated by

Accepted Answer

A)   Basic drives for survival and reproduction.
B)   Need to reduce anxiety.
C)   Need to resolve interpersonal conflicts.
D)   Basic drives for altruism.

Question 8

The primary relevance of Bowlby's attachment theory for psychiatric advanced practice nurses is that

Accepted Answer

A)   Toddlers develop primitive defense mechanisms such as denial.
B)   Toddlers develop an inner working model of how adults will respond to them.
C)   Toddlers face the psychosocial task of autonomy versus shame.
D)   Toddlers develop a fear of engulfment and enmeshment.

Question 9

Temperament-a genetically influenced early form of personality-describes an infant's pattern of central nervous system responses and behaviors. Among the different types of temperament, which one is associated with more impairment of brain functioning and, in the absence of positive, nurturing parenting, is a risk factor for later development of psychiatric disorders?

Accepted Answer

A)   Easy
B)   Slow-to-warm-up/inhibited
C)   Mixed
D)   Difficult

Question 10

According to psychosocial developmental theory, in the recently described "ninth age of man," beyond the life cycle,

Accepted Answer

A)   There are no further tasks to accomplish.
B)   The tasks that are the most important are generative versus stagnation.
C)   There is an emphasis on intimacy versus isolation.
D)   Tasks include overcoming life transitions.

Question 11

Early attachment experiences are transformed into inner working models of the self and mother by age

Accepted Answer

A)   7 years
B)   5 years
C)   3 years
D)   1 year

Exam 1: Theoretical Framework of Practice