Nursing Elites

1. Finding meaning in life and dealing with death form core values in which of the following perspectives?

• A. Existential
• B. Humanistic
• C. Behavioral
• D. Object Relations

Correct answer: A

Rationale: The correct answer is A: Existential. Existentialism is a philosophical perspective that emphasizes individual existence, freedom, and choice. It focuses on finding meaning in life and dealing with fundamental issues such as death. This perspective is characterized by concepts like authenticity, responsibility, and the search for purpose. Choices B, C, and D are incorrect because while they may address certain aspects of human behavior or relationships, they do not specifically emphasize the search for meaning and the confrontation with death as core values.

2. While out for a walk, you come across a ferocious dog. You feel your heart beating faster and your palms begin to sweat. Which part of the peripheral nervous system is activated in this situation?

• A. Autonomic
• B. Sympathetic
• C. Parasympathetic
• D. Somatic

Correct answer: B

Rationale: The correct answer is B: Sympathetic. When encountering a stressful situation like a ferocious dog, the sympathetic nervous system is activated, leading to the 'fight or flight' response. This response triggers physiological changes like increased heart rate, sweating, and heightened alertness to prepare the body to deal with the perceived threat. The autonomic nervous system (Choice A) encompasses both the sympathetic and parasympathetic divisions, so it's a broader category. The parasympathetic nervous system (Choice C) is responsible for the body's 'rest and digest' functions, which are opposite to the physiological changes seen in a stress response. The somatic nervous system (Choice D) controls voluntary movements and sensory information, not the physiological responses seen in a stress reaction.

3. 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.

4. The four parenting styles described in the text differ along two dimensions: warmth and control. The style associated with the most positive developmental outcome is best described as ________ in warmth and ________ in control.

• A. high; low
• B. low; low
• C. high; moderately high
• D. low; moderately high

Correct answer: C

Rationale: The correct answer is C: 'high in warmth and moderately high in control.' The authoritative parenting style, associated with the most positive developmental outcomes, is characterized by high levels of warmth and support coupled with moderately high levels of control. This balance allows children to develop independence while feeling secure and valued. Choices A, B, and D are incorrect because the authoritative style is not characterized by low warmth or low control, but rather high warmth and moderate control.

5. Which of the following did Freud believe played a causal role in the development of most forms of psychopathology?

• A. Anxiety
• B. Depression
• C. Unresolved conflicts between the ego and the superego
• D. Fixation in the oral stage

Correct answer: A

Rationale: Freud believed that anxiety was a primary causal factor in the development of most forms of psychopathology. Anxiety, according to Freud, arises from conflicts within the mind, particularly conflicts between the id, ego, and superego. This unresolved conflict can lead to various psychological issues. While depression can be a symptom of psychopathology, Freud emphasized anxiety as a more foundational element. Unresolved conflicts between the ego and the superego are related to Freud's structural model of the mind but are not the primary causal factor in psychopathology. Fixation in the oral stage is a concept from Freud's psychosexual stages of development and is not directly linked to the causal role in the development of most forms of psychopathology.

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