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. Sigmund Freud developed an innovative procedure for treating people with psychological problems, which he called?

• A. Behavior modification.
• B. Primal therapy.
• C. Psychoanalysis.
• D. Rational-emotive therapy.

Correct answer: C

Rationale: Sigmund Freud developed psychoanalysis, not behavior modification, primal therapy, or rational-emotive therapy, as an innovative method for treating psychological problems. Psychoanalysis focuses on exploring unconscious motivations to understand and address psychological disorders, making it the correct answer. Behavior modification involves changing behavior through conditioning techniques, primal therapy emphasizes expressing repressed emotions, and rational-emotive therapy aims to identify and change irrational beliefs.

3. How do early life experiences shape brain development and behavior?

• A. Early life experiences have no impact on brain development.
• B. Early life experiences are crucial in shaping brain development and later behavior.
• C. Early life experiences are not significant in brain development.
• D. Early life experiences are easily overcome by adulthood.

Correct answer: B

Rationale: Early life experiences are crucial in shaping brain development and later behavior. These experiences play a significant role in laying the foundation for future mental health and behavior. Choice A is incorrect because early life experiences do have a profound impact on brain development. Choice C is incorrect as early life experiences are indeed significant in brain development. Choice D is incorrect as early life experiences can have lasting effects into adulthood.

4. How do socioeconomic factors affect mental health?

• A. Socioeconomic factors do not affect mental health.
• B. Socioeconomic factors are one of the primary determinants of mental health.
• C. Socioeconomic factors only affect mental health in extreme cases.
• D. Socioeconomic factors have no clear impact on mental health.

Correct answer: B

Rationale: The correct answer is B. Socioeconomic factors like income and education levels are key determinants of mental health. They influence access to resources such as healthcare, housing, and social support systems, which can impact an individual's mental well-being. Additionally, socioeconomic factors can contribute to stress levels and overall quality of life, which in turn affect mental health. Choice A is incorrect because socioeconomic factors do play a significant role in mental health outcomes. Choice C is incorrect as socioeconomic factors have a broad impact on mental health beyond extreme cases. Choice D is also incorrect as numerous studies have shown the clear impact of socioeconomic factors on mental health.

5. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

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