Nursing Elites

1. Defense mechanisms ________.

• A. make a person feel more anxious and have more problems, as they begin to act defensively.
• B. are strategies the id uses to try to achieve its desires.
• C. are conscious, intentional attempts to cope effectively with an anxiety-producing event.
• D. help a person feel less anxious, but because they usually work by distorting reality, they are not always adaptive.

Correct answer: D

Rationale: The correct answer is D because defense mechanisms aim to reduce anxiety but can lead to distortion of reality, making them not always beneficial. Choice A is incorrect as defense mechanisms are meant to reduce anxiety, not increase it. Choice B is incorrect because defense mechanisms are not strategies of the id specifically. Choice C is incorrect as defense mechanisms are often unconscious and not always intentional.

2. According to Freud, a person who does not appropriately resolve each psychosexual stage would be _________ at that stage.

• A. defended
• B. fixated
• C. repressed
• D. displaced

Correct answer: B

Rationale: According to Freud's theory of psychosexual development, if a person does not resolve a particular stage successfully, they become fixated at that stage. This fixation can lead to behavior patterns characteristic of that stage in later life. In this context, 'defended' is incorrect because it does not align with Freud's theory of fixation. 'Repressed' is not the correct choice as it refers to the unconscious suppression of thoughts or desires. 'Displaced' involves redirecting emotions from their original source to a substitute target, which is not the concept Freud associated with unresolved psychosexual stages.

3. Biological discoveries ________.

• A. have lessened the subjectivity of definitions of abnormality.
• B. demonstrate that the environment plays only a minimal role in the development of psychopathology.
• C. make it clear that mental disorders are diseases and should be dealt with by the medical profession.
• D. have led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders.

Correct answer: D

Rationale: Biological discoveries have indeed led to a recognition of the role that genetic factors and other biological influences play in the development of many disorders. This understanding has shifted the focus from purely environmental explanations to acknowledging the significant impact of genetics and biology on mental health. Choices A, B, and C are incorrect because biological discoveries have not specifically addressed the subjectivity of definitions of abnormality, minimized the role of the environment in psychopathology, or definitively classified mental disorders as diseases that should only be handled by the medical profession.

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. If having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, the gene is a ________.

• A. risk factor
• B. necessary cause
• C. sufficient cause
• D. contributory cause

Correct answer: B

Rationale: The correct answer is B: necessary cause. A necessary cause is an essential factor for the disorder to occur. In this scenario, if having a gene for Parkinson's disease guarantees the development of the disease, then the gene is a necessary cause. Choice A, 'risk factor,' implies an increased likelihood of developing the disease but does not indicate certainty. Choice C, 'sufficient cause,' indicates that the gene alone can bring about the disease, which is not necessarily true in this context. Choice D, 'contributory cause,' suggests that the gene plays a part in causing the disease but is not essential for its development.

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