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. Which of the following is an example of telegraphic speech?

• A. A child pointed to his father's shoe and said 'daddy,' as if to convey 'daddy's shoe.'
• B. A thirsty toddler said, 'mama water.'
• C. A newborn infant asked, 'Can I have some coffee?'
• D. A baby communicated to her parents using her brain.

Correct answer: B

Rationale: The correct answer is B. Telegraphic speech is when a child uses a two-word phrase to convey a larger meaning, such as 'mama water.' Choice A is incorrect as it does not demonstrate telegraphic speech but rather a simple labeling. Choice C is incorrect as it is a complete sentence and not a two-word phrase. Choice D is also incorrect as it does not describe telegraphic speech but rather a vague statement about communication.

3. 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• C. The biopsychosocial model is outdated and has been replaced by the biomedical model.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 Choice C is incorrect as the biopsychosocial model is not outdated but rather offers a more comprehensive approach.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.

4. Distinguish between necessary, sufficient, and contributory causes of abnormal behavior.

• A. Necessary causes are required for a disorder to develop but do not guarantee it.
• B. Sufficient causes guarantee a disorder will develop, but they are not required.
• C. Contributory causes increase the likelihood of a disorder but are neither necessary nor sufficient.
• D. Contributory causes are conditions that guarantee the occurrence of a disorder.

Correct answer: A

Rationale: In understanding abnormal behavior, it is crucial to differentiate between necessary, sufficient, and contributory causes. Necessary causes are those that are required for a disorder to develop, meaning that without them, the disorder would not occur. However, their presence does not guarantee the occurrence of the disorder. Sufficient causes, on the other hand, are those that alone can guarantee the development of a disorder, but they are not the only factors that can lead to it. Contributory causes are factors that increase the likelihood of a disorder but are not essential on their own nor do they guarantee the disorder. Therefore, choice A is the correct answer as it accurately describes the role of necessary causes in the development of abnormal behavior. Choices B, C, and D are incorrect as they misrepresent the definitions and roles of sufficient and contributory causes in causing abnormal behavior.

5. 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.

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