Nursing Elites

1. How does the diathesis-stress model explain the onset of mental disorders?

• A. Stress alone is sufficient to cause mental disorders.
• B. Both genetic vulnerability and environmental stress are needed to trigger a disorder.
• C. Only genetic factors cause mental disorders.
• D. Environmental stressors alone can cause mental disorders.

Correct answer: B

Rationale: The diathesis-stress model explains that the onset of mental disorders results from the interaction of genetic vulnerability (diathesis) and environmental stress. Choice A is incorrect because stress alone is not sufficient, according to the model. Choice C is incorrect as it oversimplifies by attributing mental disorders solely to genetic factors. Choice D is incorrect because the model emphasizes the joint contribution of genetic predisposition and environmental stress.

2. Which characteristics are associated with adults fixated in the anal stage?

• A. Orderliness, obstinacy, or messiness
• B. Fixated in the oral stage
• C. Dissolves the electra complex
• D. Triggers penis envy, which then dissolves the female oedipus complex

Correct answer: A

Rationale: The correct answer is A: 'Orderliness, obstinacy, or messiness.' According to Freud's psychosexual theory, fixation in the anal stage can lead to these characteristics in adulthood. Choice B is incorrect as fixation in the oral stage is associated with issues related to dependency and aggression. Choice C is incorrect as it refers to the Electra complex, which is not related to the anal stage fixation. Choice D is incorrect as it refers to penis envy and the female Oedipus complex, which are not directly related to characteristics of adults fixated in the anal stage.

3. Newer psychodynamic perspectives ________.

• A. disregard most elements of Freud's theories.
• B. emphasize the role of the id.
• C. do not view the libido as a primary determinant of behavior.
• D. recognize intrapsychic conflicts as a primary determinant of behavior.

Correct answer: C

Rationale: Newer psychodynamic perspectives do not view the libido as a primary determinant of behavior. While Freud's theories focused heavily on the libido as a driving force, newer perspectives have evolved to consider a broader range of factors influencing behavior. Choice A is incorrect as newer perspectives still build upon some elements of Freud's theories. Choice B is incorrect as newer perspectives may not solely emphasize the role of the id. Choice D is incorrect as while intrapsychic conflicts are considered important, they are not always viewed as the sole primary determinant of behavior in newer psychodynamic perspectives.

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. What did Freud believe about castration anxiety among boys?

• A. Results in penis envy.
• B. Dissolves the Oedipus complex.
• C. Cognitive; learning.
• D. Biological; ecological.

Correct answer: B

Rationale: Freud believed that castration anxiety among boys leads to the resolution of the Oedipus complex, not penis envy or cognitive learning. The Oedipus complex is a central psychodynamic concept in Freudian theory, where boys develop unconscious desires for their mothers and view their fathers as rivals, fearing castration by their fathers as a consequence.

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