Nursing Elites

1. Down syndrome is caused by ________

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an extra copy of chromosome 21, also known as trisomy 21, leads to the characteristic features and health problems associated with Down syndrome.

2. When examining heredity, mental disorders are almost always ________.

• A. influenced by one particular gene.
• B. influenced by multiple genes.
• C. influenced by recessive genes.
• D. not influenced by genes.

Correct answer: B

Rationale: When examining heredity and mental disorders, it is important to note that these conditions are influenced by multiple genes working together. Mental disorders are complex traits that arise from the interplay of various genetic and environmental factors. Therefore, choice B, 'influenced by multiple genes,' is the correct answer. Choice A, 'influenced by one particular gene,' is incorrect because mental disorders typically do not result from the action of a single gene. Choice C, 'influenced by recessive genes,' is incorrect as it oversimplifies the genetic basis of mental disorders. Choice D, 'not influenced by genes,' is also incorrect as genes play a significant role in the development of mental disorders.

3. ______________ are conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it.

• A. Risk factors
• B. Contributory causes
• C. Sufficient causes
• D. Protective factors

Correct answer: B

Rationale: The correct term for conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it is 'Contributory causes.' Risk factors (Choice A) are conditions that increase the likelihood of a negative outcome but do not imply causation. Sufficient causes (Choice C) are conditions that guarantee the occurrence of a disorder by themselves. Protective factors (Choice D) decrease the likelihood of a disorder rather than increasing it.

4. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

5. From the cognitive-behavioral perspective, an important limitation with the behavioral perspective is that ________.

• A. Behaviorists went too far in attacking the psychoanalytic perspective.
• B. Behaviorists failed to attend to the importance of mental processes.
• C. Behaviorists were too focused on explaining how abnormal behavior is acquired.
• D. Behaviorists underestimated the role of reinforcement.

Correct answer: B

Rationale: The correct answer is B because behaviorists, from the cognitive-behavioral perspective, are criticized for not considering the significance of mental processes. This limitation is a key point in the cognitive-behavioral perspective, which emphasizes the interplay between thoughts, feelings, and behaviors. Choices A, C, and D are incorrect because they do not directly address the specific limitation of failing to account for mental processes in the behavioral perspective.

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