Nursing Elites

1. Elliot became widowed after nearly 40 years of marriage. He has convinced himself that no one will ever love him again. His irrational thinking has caused him to suffer from depression, and he rarely leaves his house. What perspective might best explain his behavior?

• A. Psychodynamic
• B. Behavioral
• C. Biological
• D. Cognitive

Correct answer: D

Rationale: The cognitive perspective might best explain Elliot's irrational thinking and resulting depression. In this case, Elliot's belief that he will never be loved again is a cognitive distortion, leading to depressive symptoms and social withdrawal. The psychodynamic perspective primarily focuses on unconscious processes and unresolved conflicts from the past, which do not directly address Elliot's current cognitive distortions. The behavioral perspective would focus on observable behaviors and how they are reinforced, which is not the central issue in this scenario. The biological perspective would examine the role of genetics, brain chemistry, and other physiological factors, which are not the primary cause of Elliot's behavior in this context.

2. How can resilience impact the likelihood of developing a mental disorder?

• A. Resilience has no impact on mental health outcomes.
• B. Resilience can help individuals overcome significant stressors.
• C. Resilience is irrelevant to mental health.
• D. Resilience is the sole factor that determines mental health outcomes.

Correct answer: B

Rationale: The correct answer is B. Resilience plays a crucial role in mental health outcomes by enabling individuals to navigate and overcome stressors effectively, thus reducing the probability of developing mental disorders. Choice A is incorrect as resilience does have a positive impact on mental health. Choice C is incorrect as resilience is highly relevant to mental health outcomes. Choice D is incorrect because while resilience is important, it is not the only factor influencing mental health.

3. Which therapy style requires the therapist to actively confront a client's irrational beliefs?

• A. Person-centered therapy
• B. Psychodynamic psychotherapy
• C. Electroconvulsive therapy
• D. REBT

Correct answer: D

Rationale: The correct answer is D, REBT (Rational Emotive Behavior Therapy). REBT involves actively confronting and changing irrational beliefs. Choice A, Person-centered therapy, is focused on providing a supportive and empathetic environment rather than confronting irrational beliefs. Choice B, Psychodynamic psychotherapy, emphasizes exploring unconscious processes and early life experiences rather than direct confrontation of irrational beliefs. Choice C, Electroconvulsive therapy, is a biological treatment for severe depression and other mental illnesses, not a therapy style that involves confronting irrational beliefs.

4. What major departure did Freud's position have from prevailing viewpoints around the early 1900s?

• A. Viewed abnormal behavior as resulting from biological causes.
• B. Viewed people as not fully aware of the forces that control their behavior.
• C. Proposed the existence of free will.
• D. Emphasized environmental forces on behavior.

Correct answer: B

Rationale: Freud's major departure from prevailing viewpoints around the early 1900s was that he viewed people as not fully aware of the forces that control their behavior. This is reflected in his emphasis on unconscious forces influencing behavior. Choice A is incorrect as Freud focused on psychological rather than solely biological causes. Choice C is incorrect as Freud's theory did not emphasize free will but rather unconscious drives. Choice D is incorrect as Freud emphasized internal psychological forces over external environmental factors.

5. After cheating on her husband and feeling ashamed, Julia accused her husband of cheating. Such behavior is explained by which of the following defense mechanisms?

• A. Sublimation
• B. Displacement
• C. Projection
• D. Rationalization

Correct answer: C

Rationale: The correct answer is C, Projection. Projection is the defense mechanism where one attributes their own unacceptable feelings to others. In this scenario, Julia is projecting her feelings of guilt and shame onto her husband by accusing him of cheating. Sublimation (choice A) involves channeling unacceptable impulses into socially acceptable activities. Displacement (choice B) is redirecting emotions from the original source to a substitute target. Rationalization (choice D) is providing logical explanations to justify unacceptable behavior, which is not applicable in this context.

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