Nursing Elites

1. Latresha is not hungry, is extremely tired, and doesn't feel like doing much of anything. She often feels that life is just hopeless. These symptoms have been going on for 2 months now. She probably is suffering from which mood disorder?

• A. Generalized anxiety disorder
• B. Bipolar disorder
• C. Major depressive disorder
• D. Obsessive-compulsive disorder

Correct answer: C

Rationale: The correct answer is C, Major Depressive Disorder. Latresha's symptoms of prolonged sadness, fatigue, and lack of interest in activities lasting for 2 months indicate a major depressive episode. Generalized anxiety disorder (A) is characterized by excessive worry and anxiety, not necessarily prolonged sadness. Bipolar disorder (B) involves episodes of both mania and depression, not solely prolonged sadness. Obsessive-compulsive disorder (D) is characterized by obsessions and compulsions, not the symptoms described in the scenario.

2. Charles has suffered from schizophrenia for many years and now resides in a group treatment facility. One day a nurse approaches him and quietly tells him that his sister, who has been fighting cancer for many months, died that morning. Charles has no appreciable facial reaction and in a very monotone voice says, 'okay.' The nurse is not surprised by Charles's lack of response to the awful news because she knows that _________ is one symptom often seen in those suffering from schizophrenia?

• A. Clang associations
• B. Echolalia
• C. Blunted affect
• D. Perseveration

Correct answer: C

Rationale: In individuals with schizophrenia, blunted affect, or reduced emotional expression, is a common symptom. In this scenario, Charles's lack of emotional response upon hearing about his sister's death aligns with the characteristic of blunted affect. This symptom can manifest as a limited range of facial expressions, monotone voice, and reduced display of emotions. Choice A, 'Clang associations,' refers to a thought disorder characterized by the use of words that sound alike but are not logically connected. Choice B, 'Echolalia,' is the repetition of words spoken by others. Choice D, 'Perseveration,' is the persistent repetition of a response or behavior even when it is no longer appropriate.

3. Which school of psychology takes the most positive view of human nature?

• A. Behaviorism.
• B. Functionalism.
• C. Humanism.
• D. Psychoanalysis.

Correct answer: C

Rationale: The correct answer is C: Humanism. Humanism is a school of psychology that focuses on the positive aspects of human nature, emphasizing personal growth, self-actualization, and the inherent goodness in individuals. Behaviorism (choice A) primarily focuses on observable behaviors and conditioning, functionalism (choice B) emphasizes the functions of consciousness and behavior adaptation, and psychoanalysis (choice D) delves into unconscious thoughts and childhood experiences, rather than having a fundamentally positive view of human nature.

4. Freud's view of mental disorders was that they were a result of ________.

• A. unresolved conflicts between the id, the ego, and the superego.
• B. genetic abnormalities that influence people's ability to cope with their environment.
• C. problematic tendencies we develop while dealing with our early interpersonal environments.
• D. learned maladaptive behaviors that were rewarded with attention.

Correct answer: A

Rationale: Freud believed that mental disorders were a result of unresolved conflicts between the id, ego, and superego. This concept is central to Freud's psychoanalytic theory, where conflicts between these three components of personality lead to psychological distress. Choice B is incorrect because Freud focused more on unconscious conflicts rather than genetic abnormalities. Choice C is incorrect as it refers to later psychodynamic theories rather than Freud's specific view. Choice D is incorrect as Freud's perspective does not emphasize learned behaviors as the primary cause of mental disorders.

5. A model of understanding mental illnesses that attempts to integrate the contributions of many different types of actors is called the ________ viewpoint.

• A. biopsychosocial
• B. sociocultural
• C. Gestalt
• D. neuroscience

Correct answer: A

Rationale: The correct answer is A: biopsychosocial. The biopsychosocial viewpoint considers the interplay of biological, psychological, and social factors in understanding mental illnesses. This model recognizes that mental health and illness are influenced by a combination of biological, psychological, and social factors. Choice B, sociocultural, focuses more on societal and cultural influences on mental health, while Choice C, Gestalt, relates to holistic psychology. Choice D, neuroscience, emphasizes the role of the nervous system and brain in mental processes, but it does not encompass the broader integration of biological, psychological, and social aspects seen in the biopsychosocial viewpoint.

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