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. If having a gene for Parkinson's disease guarantees that Parkinson's disease will develop, the gene is a ________.

• A. risk factor
• B. necessary cause
• C. sufficient cause
• D. contributory cause

Correct answer: B

Rationale: The correct answer is B: necessary cause. A necessary cause is an essential factor for the disorder to occur. In this scenario, if having a gene for Parkinson's disease guarantees the development of the disease, then the gene is a necessary cause. Choice A, 'risk factor,' implies an increased likelihood of developing the disease but does not indicate certainty. Choice C, 'sufficient cause,' indicates that the gene alone can bring about the disease, which is not necessarily true in this context. Choice D, 'contributory cause,' suggests that the gene plays a part in causing the disease but is not essential for its development.

3. When examining heredity, mental disorders are almost always ________.

• A. influenced by one particular gene.
• B. influenced by multiple genes.
• C. influenced by recessive genes.
• D. not influenced by genes.

Correct answer: B

Rationale: When examining heredity and mental disorders, it is important to note that these conditions are influenced by multiple genes working together. Mental disorders are complex traits that arise from the interplay of various genetic and environmental factors. Therefore, choice B, 'influenced by multiple genes,' is the correct answer. Choice A, 'influenced by one particular gene,' is incorrect because mental disorders typically do not result from the action of a single gene. Choice C, 'influenced by recessive genes,' is incorrect as it oversimplifies the genetic basis of mental disorders. Choice D, 'not influenced by genes,' is also incorrect as genes play a significant role in the development of mental disorders.

4. What neurotransmitter was first believed to be the cause of schizophrenia?

• A. GABA
• B. Serotonin
• C. Epinephrine
• D. Dopamine

Correct answer: D

Rationale: The correct answer is Dopamine. Dopamine was initially thought to be the primary cause of schizophrenia. This neurotransmitter hypothesis was based on the observation that drugs that increase dopamine activity can worsen symptoms of schizophrenia, while drugs that decrease dopamine activity can improve symptoms. Choices A, B, and C are incorrect because GABA, serotonin, and epinephrine were not the neurotransmitters initially believed to be the cause of schizophrenia.

5. Why is it discouraged to use terms such as 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness?

• A. These terms are no longer in the DSM
• B. There are only a small number of people diagnosed with these terms
• C. There is nothing wrong in using these terms
• D. Because people with mental illness are not defined by their condition

Correct answer: D

Rationale: It is discouraged to use terms like 'schizophrenic', 'autistic', and 'retarded' when referring to people with mental illness because people with mental illness should not be defined solely by their condition. Using such labels can reduce individuals to just their diagnosis, overlooking their individuality and other aspects of their identity. It is essential to treat individuals with mental illness with respect and dignity, focusing on their humanity rather than reducing them to a label. Choices A, B, and C are incorrect because the main reason for discouraging these terms lies in not defining individuals by their conditions, rather than the terms being in or out of the DSM, the number of diagnosed individuals, or the perception of whether there is anything wrong with using such terms.

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