Nursing Elites

1. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

2. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

3. Dr. Rice believes that it is not possible to fully understand emotions unless we understand the purpose that the conscious experiences associated with emotions play in survival and adaptation. Dr. Rice's views are most consistent with those of?

• A. Edward Titchener.
• B. Ivan Pavlov.
• C. Carl Rogers.
• D. William James.

Correct answer: D

Rationale: Dr. Rice's views align with William James, a functionalist, who emphasized understanding the role emotions play in survival and adaptation. William James and other functionalists believed that emotions have a purpose in helping individuals adapt to their environment. Edward Titchener, known for structuralism, focused on the structure of the mind rather than the purpose of emotions. Ivan Pavlov was a behaviorist known for his work on classical conditioning, which is not directly related to the purpose of emotions. Carl Rogers was a humanistic psychologist who emphasized self-actualization and personal growth, not specifically the purpose of emotions in survival and adaptation.

4. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

5. What are the potential effects of childhood trauma on adult behavior?

• A. Childhood trauma is typically overcome by adulthood.
• B. Childhood trauma can have long-lasting effects on adult behavior.
• C. Childhood trauma has minimal impact on adult behavior.
• D. Childhood trauma is easily overcome with age.

Correct answer: B

Rationale: Childhood trauma can have profound and lasting effects on behavior and mental health in adulthood. It can lead to various issues such as anxiety, depression, PTSD, and difficulties in forming relationships. Choice A is incorrect because childhood trauma doesn't automatically disappear with age. Choice C is incorrect as research shows that childhood trauma can significantly impact adult behavior. Choice D is incorrect as overcoming childhood trauma is usually a complex and challenging process that may require therapy and support.

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