Nursing Elites

1. Most behavioral disorders are determined primarily by ________.

• A. genetics
• B. upbringing
• C. diet
• D. environment

Correct answer: A

Rationale: Genetics play a significant role in the development of behavioral disorders. While upbringing, diet, and environment can also influence behavior, genetics are often the primary factor in determining behavioral disorders. Choice B (upbringing) can contribute to behavior but is not the sole determinant of behavioral disorders. Choice C (diet) can impact behavior but is not the primary factor in behavioral disorders. Choice D (environment) can also influence behavior, but genetics typically play a more significant role in determining behavioral disorders.

2. Which of the following is true about subjective distress?

• A. All individuals with mental illness experience some degree of distress
• B. Distress is the only criterion in diagnosing abnormality
• C. Its presence is enough for a clinician to determine if someone has a mental illness
• D. Some individuals with a mental disorder may not experience subjective distress

Correct answer: D

Rationale: Subjective distress is not universal among individuals with a mental disorder. Choice A is incorrect as not all individuals with mental illness experience distress. Choice B is incorrect because distress is just one of the criteria used in diagnosing abnormality, not the only one. Choice C is incorrect because the presence of subjective distress alone is not sufficient for a clinician to determine if someone has a mental illness.

3. After cheating on her husband and feeling ashamed, Julia accused her husband of cheating. Such behavior is explained by which of the following defense mechanisms?

• A. Sublimation
• B. Displacement
• C. Projection
• D. Rationalization

Correct answer: C

Rationale: The correct answer is C, Projection. Projection is the defense mechanism where one attributes their own unacceptable feelings to others. In this scenario, Julia is projecting her feelings of guilt and shame onto her husband by accusing him of cheating. Sublimation (choice A) involves channeling unacceptable impulses into socially acceptable activities. Displacement (choice B) is redirecting emotions from the original source to a substitute target. Rationalization (choice D) is providing logical explanations to justify unacceptable behavior, which is not applicable in this context.

4. Defense mechanisms ________.

• A. make a person feel more anxious and have more problems, as they begin to act defensively.
• B. are strategies the id uses to try to achieve its desires.
• C. are conscious, intentional attempts to cope effectively with an anxiety-producing event.
• D. help a person feel less anxious, but because they usually work by distorting reality, they are not always adaptive.

Correct answer: D

Rationale: The correct answer is D because defense mechanisms aim to reduce anxiety but can lead to distortion of reality, making them not always beneficial. Choice A is incorrect as defense mechanisms are meant to reduce anxiety, not increase it. Choice B is incorrect because defense mechanisms are not strategies of the id specifically. Choice C is incorrect as defense mechanisms are often unconscious and not always intentional.

5. What role does culture play in the development of psychopathology?

• A. Culture has little impact on psychopathology.
• B. Culture is crucial in understanding the development of psychopathology.
• C. Culture has a moderate impact on the development of psychopathology.
• D. Culture determines the onset of psychopathology.

Correct answer: B

Rationale: Culture is crucial in understanding the development of psychopathology. It influences beliefs, norms, values, and behaviors, which can significantly impact the manifestation and understanding of psychopathological conditions. Choice A is incorrect because culture does have a substantial impact on psychopathology. Choice C is not as strong as choice B in emphasizing the significance of culture. Choice D is incorrect as culture is one of many factors influencing the onset of psychopathology, not the sole determinant.

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