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 statements is not true about selective mutism?

• A. The disturbance is often marked by high social anxiety
• B. It can be diagnosed alongside social anxiety disorder
• C. The person is capable of speaking in some situations
• D. It may lead to academic impairment

Correct answer: B

Rationale: Selective mutism can coexist with social anxiety disorder. The correct answer is B because it is incorrect to say that selective mutism cannot be diagnosed alongside social anxiety disorder. Statement A is true as selective mutism is often associated with high social anxiety. Statement C is true as individuals with selective mutism can speak in some situations. Statement D is true as selective mutism may lead to academic impairment due to difficulties in communication.

3. Cortisol is a hormone that ________.

• A. is released by the hypothalamus and travels to the pituitary gland, causing it to respond.
• B. the pituitary gland releases to stimulate the adrenal gland.
• C. the adrenal gland produces that mobilizes the body to deal with stress.
• D. reduces the reuptake of the monoamine neurotransmitters.

Correct answer: C

Rationale: Cortisol is a hormone produced by the adrenal gland that mobilizes the body to deal with stress. Therefore, choice C is the correct answer. Choices A and B are incorrect as they inaccurately describe the origin and function of cortisol. Choice D is also incorrect as it describes the action of a different type of substance, not cortisol.

4. What role do hormones play in mental health and behavior?

• A. Hormones only affect physical processes, not mental health.
• B. Hormones play a critical role in regulating mood, behavior, and mental health.
• C. Hormones have no effect on behavior.
• D. Hormones are only involved in reproductive processes.

Correct answer: B

Rationale: Hormones play a critical role in regulating mood, behavior, and mental health, influencing everything from stress response to emotional stability. Choice A is incorrect because hormones have a significant impact on mental health in addition to physical processes. Choice C is incorrect as hormones do have a notable effect on behavior. Choice D is incorrect as hormones have broad functions beyond just reproductive processes.

5. Down syndrome is caused by ________.

• A. a chemical imbalance.
• B. a gene on the X chromosome.
• C. possessing an extra X chromosome.
• D. possessing an extra chromosome in chromosome 21.

Correct answer: D

Rationale: Down syndrome is caused by possessing an extra chromosome in chromosome 21, not by a chemical imbalance (choice A), a gene on the X chromosome (choice B), or possessing an extra X chromosome (choice C). The presence of an additional chromosome 21 disrupts the normal course of development and leads to the characteristics associated with Down syndrome.

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