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. 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. Who is credited with establishing psychology as a distinct scientific field, separate from other disciplines?

• A. G. Stanley Hall
• B. René Descartes
• C. William James
• D. Wilhelm Wundt

Correct answer: D

Rationale: Wilhelm Wundt is the correct answer as he is credited with establishing psychology as a distinct scientific field. Wundt founded the first laboratory dedicated to experimental psychology in 1879, which marked the beginning of psychology as a separate discipline. While the other individuals mentioned in the choices have made significant contributions to the field of psychology, Wilhelm Wundt is specifically known for his pioneering work in establishing psychology as a unique and independent discipline.

4. Which orientation focuses on symptoms rather than looking at underlying causes?

• A. Psychodynamic
• B. Adlerian
• C. Jungian
• D. Behavioral

Correct answer: A

Rationale: The correct answer is A: Psychodynamic. The psychodynamic orientation focuses on symptoms rather than underlying causes, emphasizing the importance of the unconscious mind. This approach views symptoms as manifestations of underlying psychological issues rooted in the unconscious. Choice B, Adlerian, is focused on individual psychology, social interests, and the importance of feelings of inferiority. Choice C, Jungian, is based on analytical psychology and the concepts of the collective unconscious and archetypes. Choice D, Behavioral, concentrates on observable behaviors and how they are learned and reinforced through interactions with the environment, rather than focusing on underlying causes.

5. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

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