Nursing Elites

1. An elementary school principal wants to know the best predictors of juvenile delinquency and dropping out of school in high school so she can provide preventive interventions. Your best advice is ________.

• A. Look for kids who are very popular because they are class clowns.
• B. Silent, depressed, loners tend to be dropouts because they are often depressed.
• C. There is no way to predict juvenile delinquency as early as elementary school.
• D. The best predictor is aggression toward peers, which leads to peer rejection.

Correct answer: D

Rationale: The best advice is to look for aggression toward peers as the best predictor of juvenile delinquency and dropping out of school. Option A is incorrect because being popular or a class clown doesn't necessarily indicate delinquency. Option B is incorrect as not all silent, depressed loners end up as dropouts. Option C is incorrect as research shows that early signs of aggression can predict future delinquent behavior and school dropout rates, making it feasible to intervene early.

2. Which of the following statements about brain dysfunction and psychiatric disorders is correct?

• A. Identifiable brain damage is often the cause of psychiatric disorders.
• B. Brain damage may decrease the risk of developing a psychiatric condition.
• C. Changes in brain function appear to play a role in many psychiatric disorders.
• D. Brain development can be altered by experience, always leading to changes in the brain that decrease the risk of developing a psychiatric condition.

Correct answer: C

Rationale: The correct statement is C: 'Changes in brain function appear to play a role in many psychiatric disorders.' This statement is accurate as research suggests that alterations in brain function are associated with various psychiatric disorders. Option A is incorrect because while brain damage can contribute to some psychiatric conditions, it is not always the primary cause. Option B is incorrect as brain damage typically increases the risk of developing psychiatric disorders. Option D is incorrect because while brain development can be influenced by experiences, it does not always decrease the risk of psychiatric conditions.

3. What are culture-bound syndromes?

• A. Culture-bound syndromes are disorders that can be found in all cultures.
• B. Culture-bound syndromes are disorders that are specific to certain cultural contexts.
• C. Culture-bound syndromes are myths and do not exist.
• D. Culture-bound syndromes are conditions seen only in psychiatric hospitals.

Correct answer: B

Rationale: Culture-bound syndromes are disorders that are specific to certain cultural contexts. These syndromes may not be recognized or understood outside of the specific cultural context where they originate. Choice A is incorrect because culture-bound syndromes are not universal and are tied to specific cultural beliefs and practices. Choice C is incorrect as culture-bound syndromes are recognized in the field of psychology and anthropology. Choice D is incorrect as culture-bound syndromes are not limited to psychiatric hospitals but can be observed in various cultural settings.

4. What is the diathesis-stress model of psychopathology?

• A. The idea that stress is the primary cause of psychopathology.
• B. A model that focuses solely on genetic predispositions.
• C. A theory that involves only environmental factors in the development of disorders.
• D. A person must have both a vulnerability for a disorder and exposure to stressors to develop the disorder.

Correct answer: D

Rationale: The diathesis-stress model of psychopathology posits that individuals must have a vulnerability or predisposition to a disorder (diathesis) and be exposed to stressful environmental factors for the disorder to manifest. This model emphasizes the interaction between genetic or biological vulnerabilities (diathesis) and environmental stressors. Choice A is incorrect because the model does not suggest that stress is the sole cause of psychopathology. Choice B is incorrect as the model considers both genetic predispositions and environmental stressors. Choice C is incorrect because the diathesis-stress model acknowledges the role of both genetic and environmental factors in the development of disorders.

5. What is the biopsychosocial model, and why is it important?

• A. A model that integrates biological, psychological, and social factors.
• B. A model that focuses solely on biological factors.
• C. A model that excludes social factors.
• D. A model that focuses solely on psychological factors.

Correct answer: A

Rationale: The biopsychosocial model is a model that integrates biological, psychological, and social factors. It is important because it recognizes the interconnectedness of these factors in influencing an individual's mental health. Option B is incorrect because the biopsychosocial model does not focus solely on biological factors. Option C is incorrect as the model does not exclude social factors. Option D is incorrect as the model does not focus solely on psychological factors.

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