Nursing Elites

1. In a breech presentation, how is the infant positioned for delivery?

• A. Is too large to be delivered vaginally.
• B. Is delivered feet or bottom first.
• C. Is delivered head first.
• D. Appears face down.

Correct answer: B

Rationale: In a breech presentation, the infant is positioned to be delivered feet or bottom first. This is because the baby's pelvis or feet enter the birth canal before the head. Therefore, choice B is correct. Choices A, C, and D are incorrect because a breech presentation specifically refers to the baby being positioned feet or bottom first, not head first, face down, or being too large for vaginal delivery.

2. One of Freud's major contributions to current perspectives of mental disorders is ________.

• A. the concept of the Oedipal complex.
• B. the concept of the unconscious and how it can affect behavior.
• C. the concept of the Electra complex.
• D. the understanding of the three structures of personality.

Correct answer: B

Rationale: Freud's major contribution to current perspectives of mental disorders is the concept of the unconscious and its influence on behavior. While the Oedipal complex (Choice A) and Electra complex (Choice C) are important psychoanalytic concepts introduced by Freud, they are more focused on childhood psychosexual development rather than mental disorders. The understanding of the three structures of personality (Choice D) refers to Freud's id, ego, and superego model, which is essential in psychoanalytic theory but not specifically related to mental disorders.

3. How does genetic predisposition influence mental health?

• A. Genetic predisposition guarantees the development of mental disorders.
• B. Genetic predisposition plays a role but is not the sole determinant of mental health.
• C. Genetic predisposition does not influence mental health.
• D. Genetic predisposition determines mental health without exception.

Correct answer: B

Rationale: Genetic predisposition indeed plays a significant role in influencing mental health by increasing the risk of developing certain disorders. However, it is crucial to note that it is not the sole determinant. Mental health is also influenced by various environmental factors, lifestyle choices, and individual experiences. Option A is incorrect because genetic predisposition does not guarantee the development of mental disorders; it only predisposes individuals to a higher risk. Option C is incorrect as genetic predisposition does have an influence on mental health. Option D is incorrect because mental health is a complex interplay of genetic, environmental, and other factors.

4. Which of the following explanations for the relationship between SES and abnormal behavior is not supported by the existing data?

• A. Low SES may cause abnormal behavior.
• B. Abnormal behavior is more likely to go untreated in those of low SES.
• C. Recovery from loss of a job may be more difficult for those exhibiting signs of mental illness.
• D. High SES may cause abnormal behavior.

Correct answer: D

Rationale: The correct answer is D because high SES as a cause for abnormal behavior is not supported by existing data. Abnormal behavior is often associated with factors like stress, trauma, genetics, or environmental influences. High SES is not a known cause of abnormal behavior. Choices A, B, and C are more plausible explanations: Low SES may lead to limited access to mental health care, untreated abnormal behavior due to financial constraints, and difficulties in coping with mental health issues after job loss, respectively.

5. Which of the following best describes a securely attached child in Japanese culture?

• A. A child who is dependent, emotionally restrained, and can express his feelings only in an indirect manner.
• B. A child who is independent, emotionally expressive, and can communicate well.
• C. A child who is dependent, emotionally labile, and can express his feelings only in an aggressive manner.
• D. A child who is independent, emotionally restrained, and can communicate well.

Correct answer: A

Rationale: In Japanese culture, a securely attached child is described as dependent and emotionally restrained. This means that the child relies on their caregiver for support and is able to control their emotions, expressing their feelings in a more subtle and indirect manner. Choice B is incorrect as it describes independence, which is not characteristic of a securely attached child in Japanese culture. Choice C is also incorrect as it describes emotional lability and expressing feelings aggressively, which are not typical of securely attached children. Choice D is incorrect as it combines independence with emotional restraint, which does not align with the characteristics of a securely attached child in Japanese culture.

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