Nursing Elites

1. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

2. 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.

3. Dr. Fox studies the causes of depression. In other words, she looks at factors that play a role in the ________ of depression.

• A. etiology
• B. epidemiology
• C. prevalence
• D. resiliency

Correct answer: A

Rationale: The correct answer is A, 'etiology.' Etiology specifically deals with the causes or origins of diseases like depression. Choice B, 'epidemiology,' focuses on the patterns, causes, and effects of health and disease conditions in defined populations. Choice C, 'prevalence,' refers to the proportion of a population found to have a condition. Choice D, 'resiliency,' relates to the ability to recover from or adjust to challenges.

4. How do neurotransmitters affect behavior and mental processes?

• A. Neurotransmitters have little effect on behavior.
• B. Neurotransmitters are chemicals that influence mood, thought, and behavior.
• C. Neurotransmitters have a minor role in mental health.
• D. Neurotransmitters determine intelligence levels.

Correct answer: B

Rationale: Neurotransmitters are chemicals that influence mood, thought, and behavior, playing a significant role in mental health. Choice A is incorrect as neurotransmitters do have a notable effect on behavior. Choice C is incorrect as neurotransmitters have a major role in mental health. Choice D is incorrect as neurotransmitters do not solely determine intelligence levels.

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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