Nursing Elites

1. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

2. Sigmund Freud developed an innovative procedure for treating people with psychological problems, which he called?

• A. Behavior modification.
• B. Primal therapy.
• C. Psychoanalysis.
• D. Rational-emotive therapy.

Correct answer: C

Rationale: Sigmund Freud developed psychoanalysis, not behavior modification, primal therapy, or rational-emotive therapy, as an innovative method for treating psychological problems. Psychoanalysis focuses on exploring unconscious motivations to understand and address psychological disorders, making it the correct answer. Behavior modification involves changing behavior through conditioning techniques, primal therapy emphasizes expressing repressed emotions, and rational-emotive therapy aims to identify and change irrational beliefs.

3. Dana's mother suffers from serious depressive episodes. Dana is likely to ________.

• A. be at risk for depression herself.
• B. become a happy-go-lucky child due to having to cope with so much.
• C. act in an aggressive, criminal manner.
• D. have intense attachments to her mother.

Correct answer: A

Rationale: When a family member, especially a parent, suffers from serious depressive episodes, it can increase the risk of depression in other family members, including children. Therefore, in this situation, Dana is likely to be at risk for depression herself. Choice B is incorrect because experiencing a parent's depression does not necessarily lead to becoming a happy-go-lucky child; it can have serious emotional implications. Choice C is incorrect as there is no direct link between a parent's depression and a child acting in an aggressive, criminal manner. Choice D may seem plausible, but it is not the most likely outcome in this scenario.

4. 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.

5. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

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