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. 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. Which characteristics are associated with adults fixated in the anal stage?

• A. Orderliness, obstinacy, or messiness
• B. Fixated in the oral stage
• C. Dissolves the electra complex
• D. Triggers penis envy, which then dissolves the female oedipus complex

Correct answer: A

Rationale: The correct answer is A: 'Orderliness, obstinacy, or messiness.' According to Freud's psychosexual theory, fixation in the anal stage can lead to these characteristics in adulthood. Choice B is incorrect as fixation in the oral stage is associated with issues related to dependency and aggression. Choice C is incorrect as it refers to the Electra complex, which is not related to the anal stage fixation. Choice D is incorrect as it refers to penis envy and the female Oedipus complex, which are not directly related to characteristics of adults fixated in the anal stage.

4. Colleen found herself attracted to her psychology instructor. She would frequently go by his office just to be near him. When he didn't respond to her advances, Colleen eventually told him that she had thoughts of killing herself so that he would spend time trying to counsel her. What personality disorder best describes Colleen's thinking and behavior?

• A. Borderline personality disorder
• B. Schizoid personality disorder
• C. Schizotypal personality disorder
• D. Antisocial personality disorder

Correct answer: A

Rationale: Colleen's behavior of seeking attention and manipulating others by threatening self-harm to elicit a response from her psychology instructor aligns with the characteristics of borderline personality disorder. This disorder is characterized by unstable relationships, impulsive actions, and efforts to avoid real or imagined abandonment. Choices B, C, and D are incorrect because they do not match Colleen's behavior as described in the scenario. Schizoid personality disorder is characterized by a lack of interest in social relationships, Schizotypal personality disorder involves social anxiety and odd behavior, and Antisocial personality disorder is characterized by a disregard for others' feelings and violating their rights.

5. In schizophrenia, what is the term used to describe the symptom where individuals exhibit peculiar hand and limb movements or adopt unusual postures for long periods of time?

• A. Catatonia
• B. Loose association
• C. Disorganized speech
• D. Blunted affect

Correct answer: A

Rationale: The correct answer is A: Catatonia. Catatonia is a symptom seen in some cases of schizophrenia, characterized by motor abnormalities such as peculiar hand and limb movements or adopting unusual postures for extended periods. Choice B, Loose association, refers to a thought disorder where ideas shift from one subject to another in an unrelated way. Choice C, Disorganized speech, is characterized by incoherent or incomprehensible speech patterns. Choice D, Blunted affect, describes a reduction in the intensity of emotional expression.

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