Nursing Elites

1. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

2. 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.

3. The site of chemical communication in the brain is the ________.

• A. neuron
• B. synapse
• C. axon
• D. dendrite

Correct answer: B

Rationale: The synapse is the correct answer. It is the site where communication between neurons occurs through the release and reception of neurotransmitters. Choice A, neuron, is incorrect as it is the cell itself rather than a specific site of communication. Choice C, axon, is also incorrect as it is a part of the neuron that transmits signals away from the cell body. Choice D, dendrite, is not the correct answer either, as dendrites receive signals from other neurons but do not release neurotransmitters for communication.

4. Which of the following is true about subjective distress?

• A. All individuals with mental illness experience some degree of distress
• B. Distress is the only criterion in diagnosing abnormality
• C. Its presence is enough for a clinician to determine if someone has a mental illness
• D. Some individuals with a mental disorder may not experience subjective distress

Correct answer: D

Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.

5. 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.

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