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Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice 1st Edition Test Bank
Chapter 1: Theoretical Framework of Practice
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. 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?
A. Easy
B. Slow-to-warm-up/inhibited
C. Mixed
D. Difficult
____ 2. According to psychosocial developmental theory, in the recently described “ninth age of
man,” beyond the life cycle,
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.
____ 3. Which attachment pattern is more likely to be found among children who have been abused?
A. Secure
B. Inhibited
C. Disorganized
D. Avoidant
____ 4. Nobel Prize winner Eric Kandel demonstrated that the brain
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
____ 5. The primary relevance of Bowlby’s attachment theory for psychiatric advanced practice
nurses is that
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.
____ 6. Early attachment experiences are transformed into inner working models of the self and
mother by age
A. 7 years
, Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice 1st Edition Test Bank
B. 5 years
C. 3 years
D. 1 year
____ 7. In a cantilevered model of needs such as Hansell’s model,
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
____ 8. Freud’s drive theory proposes that individuals are motivated by
A. Basic drives for survival and reproduction.
B. Need to reduce anxiety.
C. Need to resolve interpersonal conflicts.
D. Basic drives for altruism.
____ 9. Brain plasticity, which refers to the brain’s capacity to change in response to an event,
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
____ 10. It is believed that recovery can be promoted in children by all of the following except
A. Teaching problem-solving skills
B. Providing social support
C. Limiting challenging experiences
D. Providing structure to daily life
____ 11. The primary focus of the biopsychosocial model is
A. Heritability of psychiatric disorders
B. Domains of functioning
C. Abnormalities of neurotransmission
D. Abnormalities of systems and circuits
, Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice 1st Edition Test Bank
Chapter 1: Theoretical Framework of Practice
Answer Section
MULTIPLE CHOICE
1. ANS: D PTS: 1
2. ANS: D PTS: 1
3. ANS: C PTS: 1
4. ANS: C PTS: 1
5. ANS: B PTS: 1
6. ANS: D PTS: 1
7. ANS: C PTS: 1
8. ANS: A PTS: 1
9. ANS: B PTS: 1
10. ANS: C PTS: 1
11. ANS: B PTS: 1
Chapter 2: Neurobiological Theory of Psychiatric Disorders: Brain functioning, brain
development and prenatal and perinatal factors disrupting brain development
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. On evaluation, the patient appears to be having difficulty with working memory, planning, and
insight into his problems. The psychiatric advanced practice nurse recognizes that these
symptoms are associated with problems with the
A. Frontal lobe
B. Temporal lobe
C. Parietal lobe
D. Occipital lobe
____ 2. On mental status examination, the patient’s thoughts reveal lack of directedness, excessive
details, and difficulty with closure. This pattern is called
A. Concrete thinking
B. Circumstantiality
C. Perseveration
D. Thought blocking
____ 3. The brain structure that is believed to have a gating/filtering function and is the area of the brain
through which all sensory information passes en route to various cortical areas is which of the
following:
A. Brainstem
B. Reticular activating system
C. Thalamus
D. Hypothalamus
____ 4. Which area of the brain is a very primitive in terms of evolution and is involved in swallowing,
arousal, and breathing?
A. Parietal lobe
B. Insula
, Psychiatric Advanced Practice Nursing: A Biopsychosocial Foundation for Practice 1st Edition Test Bank
C. Cerebellum
D. Brainstem
____ 5. Which of these brain structures puts emotional meaning on a stimulus, forms emotional
memories, and is involved with rage and fear?
A. Hippocampus
B. Temporal lobe
C. Amygdala
D. Midbrain
____ 6. The principal excitatory neurotransmitter in the central nervous system is
A. Gamma-aminobuytric acid (GABA)
B. Serotonin
C. Glutamate
D. Acetylcholine
____ 7. Which structure of the brain is involved in learning, processing information into memories, and
assigning the time and the place to memories?
A. Hippocampus
B. Olfactory bulb
C. Limbic system
D. Occipital lobe
____ 8. Which one of the following is not one of the meninges, the three layers that cover the brain?
A. Arachnoid
B. Pia
C. Reticular formation
D. Dura
____ 9. Which of the following structures provides for communication between the two hemispheres of
the brain?
A. Lateral ventricle
B. Basal ganglia
C. Corpus callosum
D. Hypothalamus
____ 10. Which of the lobes of the brain is primarily involved in auditory hallucinations?
A. Occipital lobe
B. Parietal lobe
C. Frontal lobe
D. Temporal lobe
____ 11. The function of this brain structure was formerly believed to be limited to maintaining balance
and learning motor skills but is now believed to be involved in learning and emotions and may be
involved in autism. It is the
A. Cerebellum
B. Insula
C. Corpus callosum
D. Pons
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