Nursing Elites

1. What would a humanist most likely say about Manny's passivity?

• A. Manny will find it difficult to change because he probably has deep-seated feelings of inferiority.
• B. Manny can become more assertive once he begins to feel better about himself and recognizes that he has the ability to fulfill his potential.
• C. Manny simply needs to take an assertiveness training class in which he can learn and practice assertive behaviors.
• D. Manny should undergo analysis so that he can begin to resolve whatever unconscious conflict is at the root of his passivity.

Correct answer: B

Rationale: Humanists believe in the inherent goodness and potential of individuals. They would most likely say that Manny can become more assertive by improving his self-esteem and recognizing his abilities. Choice A is incorrect because humanists focus on self-actualization rather than deep-seated feelings of inferiority. Choice C is incorrect as it oversimplifies the issue by suggesting a training class can solve the problem without addressing underlying beliefs. Choice D is incorrect as it suggests a psychoanalytic approach, while humanists usually emphasize personal growth and self-improvement.

2. 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.

3. In the Philippines, the existing laws only allow for 7 days of paternity leave. Consequently, fathers get to spend less time with their newborn baby. Which context in Bronfenbrenner's theory does this fall under?

• A. Microsystem
• B. Macrosystem
• C. Mesosystem
• D. Exosystem

Correct answer: D

Rationale: This situation falls under the exosystem in Bronfenbrenner's ecological systems theory. The exosystem comprises broader social systems that indirectly influence individuals' lives, such as laws governing parental leave. The limited paternity leave directly impacts fathers' ability to spend time with their newborns but is determined by external factors like societal policies, making it an exosystem influence. Choices A, B, and C do not fit this scenario as they refer to more immediate social environments or broader cultural norms that do not directly determine parental leave policies.

4. How is binge-eating disorder different from bulimia?

• A. Typically eat much smaller portions before purging the food.
• B. Do not typically purge the food they eat.
• C. Only purge their food after several binge sessions.
• D. Often resort to anorexic methods to rid themselves of the food they have eaten.

Correct answer: B

Rationale: The correct answer is B because individuals with binge-eating disorder do not typically engage in purging behavior, unlike those with bulimia. Choice A is incorrect as individuals with binge-eating disorder do not purge the food they eat, so they do not eat smaller portions before doing so. Choice C is incorrect as they do not purge their food after several binge sessions. Choice D is incorrect as individuals with binge-eating disorder do not resort to anorexic methods to rid themselves of the food they have eaten.

5. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

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