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. Barney helps his younger brother, who has just learned to cycle on his own, to navigate narrow roads and sharp turns. Vygotsky will refer to this as ________?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: C

Rationale: In this scenario, where Barney is assisting his younger brother in navigating narrow roads and sharp turns, Vygotsky would refer to this as an example of the 'mesosystem.' The mesosystem involves the interactions between different systems in a child's environment, such as family and peers. Choices A, B, and D are incorrect: A) Microsystem refers to the immediate environment where the child lives, like home and school; B) Macrosystem encompasses the larger cultural context; D) Exosystem involves external settings that indirectly influence the child.

3. 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.

4. During which period of psychosexual development does a child become preoccupied with the development of skills and activities?

• A. Genital
• B. Phallic
• C. Latency
• D. Pubertal

Correct answer: C

Rationale: The correct answer is C, Latency. In the Latency stage of psychosexual development, which occurs from around age 6 to puberty, children are focused on developing skills and engaging in activities rather than exploring sexuality. This period is characterized by the suppression of sexual impulses and the emphasis on social and intellectual pursuits. Choice A, Genital, refers to the final stage of psychosexual development in Freud's theory where individuals reach sexual maturity. Choice B, Phallic, pertains to the stage where children become aware of anatomical differences between boys and girls and develop unconscious sexual desires for the opposite-sex parent. Choice D, Pubertal, is not a recognized stage in Freud's psychosexual development theory.

5. 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.

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