Nursing Elites

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

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

Correct answer: C

Rationale: Freud's psychosexual stage that occurs between the ages of 3 and 5 is the phallic stage. During this stage, children focus on the genitals and start to identify with the same-sex parent while developing the superego. Choice A, the oral stage, occurs during infancy (0-1 year), where gratification is centered around the mouth. Choice B, the anal stage, occurs between the ages of 1 and 3, focusing on toilet training. Choice D, the genital stage, is the final stage in Freud's theory, occurring from puberty onwards, where the focus is on mature sexual relationships.

2. How do defense mechanisms contribute to psychopathology?

• A. They do not contribute to psychopathology as they are healthy coping mechanisms.
• B. They contribute to psychopathology by allowing individuals to avoid confronting painful realities.
• C. Defense mechanisms have no connection to psychopathology.
• D. Defense mechanisms are unconscious strategies that can lead to the development of psychopathology.

Correct answer: B

Rationale: The correct answer is B. Defense mechanisms contribute to psychopathology by allowing individuals to avoid confronting painful realities. This avoidance can prevent individuals from dealing with underlying issues, leading to the development or exacerbation of psychopathological conditions. Choice A is incorrect because while defense mechanisms may serve as coping mechanisms, they can also contribute to psychopathology when used excessively or inappropriately. Choice C is incorrect as defense mechanisms are indeed connected to psychopathology. Choice D is incorrect because defense mechanisms, when maladaptive, can contribute to psychopathology rather than being considered healthy coping strategies.

3. Strict behaviorists would be most sympathetic to which one of the following statements?

• A. Human behavior is primarily caused by inherited factors.
• B. Human behavior is primarily caused by environmental factors.
• C. Human behavior is primarily caused by equal contributions of inherited and environmental factors.
• D. No one really knows the primary causes for human behavior.

Correct answer: B

Rationale: Strict behaviorists, who adhere to behaviorism, believe that human behavior is primarily influenced by environmental factors. This perspective asserts that individuals' actions and responses are shaped by their interactions with the environment, learning experiences, and external stimuli. Choice A is incorrect because strict behaviorists do not focus on inherited factors but on how behavior is learned and shaped through environmental influences. Choice C is also incorrect as behaviorists do not believe in equal contributions of inherited and environmental factors; they emphasize environmental determinants. Choice D is incorrect as behaviorists have a clear stance that behavior is influenced by environmental stimuli and learning experiences.

4. Dr. Kali works with clients to help them learn deep relaxation. Next, he has them list their fears from least to most anxiety-provoking. Finally, Dr. Kali slowly exposes his clients to each of their fears and assists them in gaining control of their anxiety. His approach is best known as?

• A. Systematic desensitization
• B. Aversion therapy
• C. Flooding
• D. Fear therapy

Correct answer: A

Rationale: The correct answer is A, systematic desensitization. This therapy involves a step-by-step exposure to feared stimuli, helping individuals manage and reduce their anxiety. In this case, Dr. Kali's method of listing fears from least to most anxiety-provoking and gradually exposing clients to them aligns with the principles of systematic desensitization. Choices B, C, and D are incorrect. Aversion therapy involves associating an undesirable behavior with an unpleasant stimulus, flooding involves immediate and intense exposure to feared stimuli, and 'fear therapy' is a broad term that does not specifically describe the systematic exposure and relaxation techniques used in systematic desensitization.

5. Which perspective or viewpoint focuses on intrapsychic conflicts as the cause of psychopathology?

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

Correct answer: C

Rationale: The correct answer is C: Psychodynamic. The psychodynamic perspective emphasizes the role of intrapsychic conflicts, often related to unconscious processes, in the development of psychopathology. This perspective, founded by Sigmund Freud, suggests that unresolved conflicts from early childhood experiences can manifest as mental health issues. Choice A, Biological, focuses on the physiological aspects of psychopathology, such as genetics and neurobiology. Choice B, Behavioral, looks at how behavior is learned and reinforced. Choice D, Sociocultural, considers the influence of social and cultural factors on mental health.

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