Nursing Elites

1. After cheating on her husband and feeling ashamed, Julia accused her husband of cheating. Such behavior is explained by which of the following defense mechanisms?

• A. Sublimation
• B. Displacement
• C. Projection
• D. Rationalization

Correct answer: C

Rationale: The correct answer is C, Projection. Projection is the defense mechanism where one attributes their own unacceptable feelings to others. In this scenario, Julia is projecting her feelings of guilt and shame onto her husband by accusing him of cheating. Sublimation (choice A) involves channeling unacceptable impulses into socially acceptable activities. Displacement (choice B) is redirecting emotions from the original source to a substitute target. Rationalization (choice D) is providing logical explanations to justify unacceptable behavior, which is not applicable in this context.

2. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

3. One important contribution of Freud's theory was that ________.

• A. he truly understood the role of women in society.
• B. he heavily utilized experimental evidence to support his theories.
• C. he applied the same principles to normal and abnormal behavior.
• D. he increased the focus on positive growth for individuals.

Correct answer: C

Rationale: Freud's important contribution was that he applied the same principles to both normal and abnormal behavior. This approach allowed for a comprehensive understanding of human behavior without creating a rigid distinction between normal and abnormal psychology. Choice A is incorrect because Freud's theory did not primarily focus on the role of women in society. Choice B is incorrect as Freud's theories were largely based on clinical observations and case studies rather than experimental evidence. Choice D is incorrect as Freud's theory emphasized the unconscious mind and conflicts rather than solely focusing on positive growth for individuals.

4. What is the term for the age of an unborn baby, usually dated from the first day of an expectant mother's last menstrual cycle?

• A. Mental age
• B. Chronological age
• C. Functional age
• D. Gestational age

Correct answer: D

Rationale: The correct answer is D, Gestational age. Gestational age is calculated from the first day of the expectant mother's last menstrual cycle, providing an estimate of how far along the pregnancy is. Mental age (choice A), refers to an individual's level of cognitive functioning in relation to others of the same age group. Chronological age (choice B) is a person's actual age in years. Functional age (choice C) refers to how well a person is able to perform various activities compared to their chronological age.

5. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

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