Nursing Elites

1. Freud's psychosexual stage that occurs between the ages of 3 and 5 and includes the Oedipal period is the ________ stage.

• A. genital
• B. oral
• C. phallic
• D. latency

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5, including the Oedipal period, is the phallic stage. During this stage, children experience the Oedipus or Electra complex, where they develop unconscious sexual desires for the opposite-sex parent and see the same-sex parent as a rival. The genital stage (Choice A) is the final stage where mature sexual interests emerge, oral (Choice B) and anal stages precede the phallic stage, and latency (Choice D) is a stage following the phallic stage characterized by a focus on developing social and cognitive skills.

2. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

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

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

3. What is the significance of the diathesis-stress model in understanding mental disorders?

• A. The diathesis-stress model suggests that stress alone causes mental disorders.
• B. The diathesis-stress model suggests that both genetic predisposition and environmental stress are necessary for the development of mental disorders.
• C. The diathesis-stress model is outdated and irrelevant.
• D. The diathesis-stress model focuses only on environmental factors.

Correct answer: B

Rationale: The diathesis-stress model suggests that both genetic predisposition and environmental stress are necessary for the development of mental disorders, highlighting the interaction between nature and nurture. Choice A is incorrect because the model emphasizes the combined influence of genetic vulnerability and environmental stressors. Choice C is incorrect as the diathesis-stress model remains a valuable framework in understanding mental health. Choice D is incorrect because the model considers both genetic and environmental factors, not solely environmental factors.

4. Dr. Rice believes that it is not possible to fully understand emotions unless we understand the purpose that the conscious experiences associated with emotions play in survival and adaptation. Dr. Rice's views are most consistent with those of?

• A. Edward Titchener.
• B. Ivan Pavlov.
• C. Carl Rogers.
• D. William James.

Correct answer: D

Rationale: Dr. Rice's views align with William James, a functionalist, who emphasized understanding the role emotions play in survival and adaptation. William James and other functionalists believed that emotions have a purpose in helping individuals adapt to their environment. Edward Titchener, known for structuralism, focused on the structure of the mind rather than the purpose of emotions. Ivan Pavlov was a behaviorist known for his work on classical conditioning, which is not directly related to the purpose of emotions. Carl Rogers was a humanistic psychologist who emphasized self-actualization and personal growth, not specifically the purpose of emotions in survival and adaptation.

5. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

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