Nursing Elites

1. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

2. What is the term for a fluid-filled sac in which the baby floats until just before it is born?

• A. Amnion
• B. Placenta
• C. Umbilical cord
• D. Embryo

Correct answer: A

Rationale: The correct answer is A: Amnion. The amnion is a fluid-filled sac that surrounds and protects the developing fetus in the womb. It acts as a cushion, maintaining a stable temperature and protecting the fetus from external pressure. Choices B, C, and D are incorrect because the placenta is an organ that provides nutrients and oxygen to the fetus and removes waste products, the umbilical cord connects the fetus to the placenta to facilitate nutrient exchange, and an embryo is an early stage of development before it becomes a fetus.

3. What is the diathesis-stress model of psychopathology?

• A. The idea that stress is the primary cause of psychopathology.
• B. A model that focuses solely on genetic predispositions.
• C. A theory that involves only environmental factors in the development of disorders.
• D. A person must have both a vulnerability for a disorder and exposure to stressors to develop the disorder.

Correct answer: D

Rationale: The diathesis-stress model of psychopathology posits that individuals must have a vulnerability or predisposition to a disorder (diathesis) and be exposed to stressful environmental factors for the disorder to manifest. This model emphasizes the interaction between genetic or biological vulnerabilities (diathesis) and environmental stressors. Choice A is incorrect because the model does not suggest that stress is the sole cause of psychopathology. Choice B is incorrect as the model considers both genetic predispositions and environmental stressors. Choice C is incorrect because the diathesis-stress model acknowledges the role of both genetic and environmental factors in the development of disorders.

4. How does the biopsychosocial model differ from the biomedical model?

• A. The biopsychosocial model focuses solely on the biological aspects of disease.
• B. The biopsychosocial model includes biological, psychological, and social factors, whereas the biomedical model focuses on only biological factors.
• C. The biopsychosocial model is outdated and has been replaced by the biomedical model.
• D. The biopsychosocial model is identical to the biomedical model.

Correct answer: B

Rationale: The biopsychosocial model differs from the biomedical model by considering biological, psychological, and social factors in understanding health and illness. Choice A is incorrect because the biopsychosocial model does not solely focus on biological aspects. Choice C is incorrect as the biopsychosocial model is not outdated but rather offers a more comprehensive approach. Choice D is incorrect as the two models are distinct in their considerations of factors beyond biology.

5. Which of the following is an appropriate description of a child with conduct disorder?

• A. They may argue repeatedly with adults, ignore adult rules and requests, deliberately annoy other people, and feel much anger and resentment
• B. They have great difficulty attending to tasks, or behave overactively and impulsively, or both
• C. Marked by extreme unresponsiveness to other people, severe communication deficits, and highly rigid and repetitive behaviors, interests, and activities
• D. They are often aggressive, deliberately destroy other people's property, steal or lie, skip school, or run away from home

Correct answer: A

Rationale: The correct answer is A. Children with conduct disorder often exhibit behaviors such as arguing with adults, ignoring rules, deliberately annoying others, and displaying anger and resentment. Choice B describes symptoms more characteristic of ADHD (Attention-Deficit/Hyperactivity Disorder). Choice C describes symptoms commonly seen in individuals with autism spectrum disorders. Choice D outlines behaviors associated with oppositional defiant disorder rather than conduct disorder.

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