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 neurotransmitter is reduced in both the manic and depressive phases of bipolar disorder?

• A. Acetylcholine
• B. Dopamine
• C. Norepinephrine
• D. Serotonin

Correct answer: D

Rationale: The correct answer is D, Serotonin. Serotonin levels are reduced during both the manic and depressive phases of bipolar disorder. Acetylcholine (choice A) is not typically linked to bipolar disorder. Dopamine (choice B) and norepinephrine (choice C) are more commonly associated with conditions like schizophrenia and depression, respectively, rather than bipolar disorder. Therefore, they are not the neurotransmitters reduced in both manic and depressive phases of bipolar disorder.

3. Which of the following views is most consistent with the notion that unconscious motivations can influence our overt behavior?

• A. Carl Rogers.
• B. Wilhelm Wundt.
• C. B.F. Skinner.
• D. Sigmund Freud.

Correct answer: D

Rationale: The correct answer is D, Sigmund Freud. Freud's psychoanalytic theory emphasized the impact of unconscious motivations on behavior. Carl Rogers (choice A) is known for person-centered therapy emphasizing self-actualization, Wilhelm Wundt (choice B) is a structuralist in psychology focusing on consciousness, and B.F. Skinner (choice C) is associated with behaviorism and operant conditioning, which do not primarily focus on unconscious motivations.

4. Why does the selection of a theoretical perspective of mental disorders matter?

• A. Because it determines how data is interpreted, and influences treatment approaches.
• B. It matters because different perspectives offer different insights into the causes and treatments of mental disorders.
• C. The selection of a theoretical perspective is not important as all perspectives lead to the same treatment outcomes.
• D. Theoretical perspectives are only relevant for academic research, not for clinical practice.

Correct answer: A

Rationale: The selection of a theoretical perspective matters because it determines how data is interpreted and influences the treatment approaches that are considered appropriate. Choice B is incorrect because different perspectives may lead to different interpretations and treatment strategies. Choice C is incorrect because different theoretical perspectives can result in varied treatment outcomes. Choice D is incorrect because theoretical perspectives play a crucial role in both academic research and clinical practice.

5. A baby throws its arms out and then inward (as if embracing) in response to loud noise or when its head falls. Which reflex is this?

• A. Babinski
• B. Palmar
• C. Darwinian
• D. Moro

Correct answer: D

Rationale: The correct answer is D, Moro. The Moro reflex is an instinctual response seen in infants when they experience a sudden loss of support or loud noise. The baby will throw their arms out and then bring them back in, resembling an embrace. This reflex is important for survival as it helps the infant react to potential dangers. Choice A, Babinski, refers to the reflex where a baby's toes spread apart when the sole of the foot is stimulated. Choice B, Palmar, is related to the reflex where a baby's fingers close tightly around an object placed in their palm. Choice C, Darwinian, is not a recognized reflex in this context.

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