Nursing Elites

1. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

2. Which part of the superego develops from our experiences with rewards for proper behavior and tells us what we should do?

• A. Conscience
• B. Ego-ideal
• C. Regressing back to the anal stage
• D. Regressing back to the oral stage

Correct answer: B

Rationale: The correct answer is B, the Ego-ideal. The Ego-ideal is a subsystem of the superego that develops from experiences with rewards for proper behavior. It guides individuals on what they should do, setting standards and ideals for behavior. Choice A, Conscience, represents the part of the superego that focuses on what one should not do, based on experiences with punishment for improper behavior. Choices C and D, regressing back to the anal and oral stages respectively, are irrelevant to the development of the superego's components and are not related to experiences with rewards for proper behavior.

3. 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.

4. Michael, age 16, has recently gained a considerable amount of weight but has not grown any taller. His father experienced a similar pattern of growth when he was a teenager. Theorists who suggest that Michael’s growth pattern was inherited from his father emphasize the ________ side of the nature-nurture debate?

• A. Nature
• B. Nurture
• C. Environmental
• D. Experiential

Correct answer: A

Rationale: The correct answer is 'A: Nature.' In this scenario, the emphasis is on the genetic inheritance of the growth pattern from father to son, highlighting the role of nature in determining physical characteristics. Choice B, 'Nurture,' focuses on environmental influences, which are not the primary factor in this case. Choice C, 'Environmental,' is similar to 'Nurture' and does not address the genetic aspect mentioned. Choice D, 'Experiential,' pertains more to the learning and experiential aspects rather than genetic inheritance, making it an incorrect choice.

5. 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.

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