Nursing Elites

1. Dr. Haldol has several patients with schizophrenia who appear to exhibit excessive or distorted characteristics in relation to what one might consider normal functioning. Specific symptoms include varied hallucinations and multiple delusions. According to the DSM-5, these are referred to as?

• A. Flat affect
• B. Positive symptoms
• C. Negative symptoms
• D. Catatonia

Correct answer: B

Rationale: The correct answer is B: Positive symptoms. Positive symptoms in schizophrenia are behaviors or experiences that are added to normal functioning, such as hallucinations and delusions. These symptoms are considered 'positive' because they represent an excess or distortion of normal functions. Choices A, C, and D are incorrect. Flat affect refers to a reduction in emotional expression, negative symptoms involve deficits in normal functioning such as reduced emotional expression or motivation, and catatonia is a state of unresponsiveness.

2. Define resilience and explain its significance in mental health.

• A. Resilience refers to the ability to avoid all mental health issues despite severe stress.
• B. Resilience is the ability to adapt successfully to even very difficult circumstances.
• C. Resilience is the tendency to be unaffected by any form of stress or adversity.
• D. Resilience is the ability to avoid stress by avoiding challenges.

Correct answer: B

Rationale: The correct definition of resilience is the ability to adapt successfully to difficult circumstances, not avoiding stress entirely. Resilience is significant in mental health as it helps individuals overcome adversity rather than avoiding it. Choice A is incorrect as resilience doesn't mean avoiding all mental health issues but rather dealing with stress effectively. Choice C is incorrect as resilience involves facing and overcoming stress, not being unaffected by it. Choice D is incorrect as resilience involves facing challenges and stress, not avoiding them altogether.

3. Which psychosexual stage focuses on castration anxiety?

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

Correct answer: D

Rationale: Castration anxiety is a concept from Freudian psychoanalytic theory that occurs during the Phallic stage. This stage occurs between 3 to 6 years of age and is when children experience conflicts related to the Oedipus complex (boys) and Electra complex (girls). During this stage, children may fear castration (in boys) or penis envy (in girls), which are crucial components of castration anxiety. Therefore, the correct answer is Phallic. The other options (A: Genital, B: Oral, C: Anal) are incorrect as they do not specifically involve castration anxiety but rather represent different stages in Freud's psychosexual development theory.

4. Which of the following psychodynamic elements of the personality can be described as impulsive and selfish?

• A. Ego
• B. Id
• C. Superego
• D. Ideal self

Correct answer: B

Rationale: The correct answer is B, Id. In psychodynamic theory, the Id is the component driven by basic, primal instincts, seeking instant gratification without consideration for consequences. It operates on the pleasure principle, aiming to fulfill desires immediately. The Superego, on the other hand, represents the internalized moral standards and ideals, while the Ego mediates between the Id and Superego, balancing impulses with societal norms. The 'Ideal self' is a concept from humanistic psychology related to one's aspirations and goals, not a component in psychodynamic theory. Therefore, choices A, C, and D are incorrect.

5. Which of the following statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

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