Which of the following is least likely to play a role in the development of oppositional defiant disorder?
Correct Answer: C
Oppositional defiant disorder etiology has its foundation in the following situations: * Temperament * Parents who model extreme ways of expressing emotions * Trauma * Unresolved conflicts
Question 47
Which term best describes treatments used in place of traditional medical practices?
Correct Answer: C
The National Institutes of Health (NIH) created the National Center for Complementary and Alternative Medicine (NCCAM) in 1998. The mission of NCCAM is to study therapies outside of traditional medicine. Complementary therapies are defined as treatments used in addition to traditional medical practices. Alternative therapies are used in place of traditional medical practice. Often, complementary and alternative are combined to form the term "complementary and alternative medicine" (CAM). Types of CAM include: * Biological-based therapies: herbal products, vitamins, supplements, and aromatherapy * Mind-body interactions: guided imagery, meditation, yoga, biofeedback * Manipulative and body-based therapies: acupressure, acupuncture, massage, reflexology
Question 48
Which of the following findings would be routinely expected in cases of alcohol withdrawal that are not severe?
Correct Answer: B
Some degree of tremors are often present during alcohol withdrawal, even in mild to moderate cases of withdrawal. Disorientation, decreased short-term memory, and an irregular pulse are all symptoms that are suggestive of severe alcohol withdrawal and may indicate an increased risk of delirium tremens.
Question 49
A PMHNP is conducting a study on the effectiveness of a new therapy for PTSD. A potential participant expresses interest but appears anxious about the research procedures. Which of the following ensures ethical, informed consent for research participation?
Correct Answer: D
Providing comprehensive information and allowing for questions ensures that consent is informed, voluntary, and based on a clear understanding of the study, aligning with ethical guidelines for research. Providing the information necessary to obtain informed consent is the clinician's responsibility. While institutional review boards play a role in approving a clinical trial, they are not directly responsible for obtaining informed consent from participants. Coercing participation by threatening to discontinue treatment is unethical and violates the principle of voluntariness in informed consent. Although incentives can be used in research, they should not be so significant that they unduly influence the participant's decision, compromising the voluntariness of consent.
Question 50
Which statement most accurately describes an individual with antisocial personality disorder?
Correct Answer: D
Patients with antisocial personality disorder exhibit criminal behavior beginning in childhood, such as truancy, fighting, destructiveness, and theft. They often default on debts, behave irresponsibly, and act recklessly. They show no remorse for their behavior. Patients with schizoid personality disorder care little for social relationships, have a restricted emotional range, and appear indifferent to criticism or praise. Patients with borderline personality disorder exhibit impulsivity, self-harm, inappropriate anger, and affective instability. They feel empty and bored, and they frantically try to avoid abandonment. Patients with avoidant personality disorder are timid and easily wounded by criticism from others. They fear embarrassment and hesitate to form interpersonal relationships.