Nursing Elites

1. Newer psychodynamic perspectives ________.

• A. disregard most elements of Freud's theories.
• B. emphasize the role of the id.
• C. do not view the libido as a primary determinant of behavior.
• D. recognize intrapsychic conflicts as a primary determinant of behavior.

Correct answer: C

Rationale: Newer psychodynamic perspectives do not view the libido as a primary determinant of behavior. While Freud's theories focused heavily on the libido as a driving force, newer perspectives have evolved to consider a broader range of factors influencing behavior. Choice A is incorrect as newer perspectives still build upon some elements of Freud's theories. Choice B is incorrect as newer perspectives may not solely emphasize the role of the id. Choice D is incorrect as while intrapsychic conflicts are considered important, they are not always viewed as the sole primary determinant of behavior in newer psychodynamic perspectives.

2. Franklin wakes up in a homeless shelter in another town. He doesn't know where he is or how he got there, and he's confused when people say he has been calling himself Anthony. This is most likely an episode of dissociative?

• A. Amnesia
• B. Dissociative fugue
• C. Wandering
• D. Flight of ideas

Correct answer: B

Rationale: The correct answer is B, Dissociative fugue. In the scenario described, Franklin experiencing memory loss, travel to another town, assuming a new identity (calling himself Anthony) aligns with dissociative fugue. Amnesia (Choice A) involves memory loss without the additional aspects of travel and assuming a new identity. Wandering (Choice C) is vague and does not encompass the complete set of symptoms described. Flight of ideas (Choice D) is a symptom of conditions like mania, not dissociative disorders.

3. David believes that characters in a popular science fiction show are secretly sending him messages. This would be an example of a delusion of?

• A. Persecution
• B. Influence
• C. Reference
• D. Grandeur

Correct answer: C

Rationale: The correct answer is C: Reference. A delusion of reference is when an individual believes that external events or characters are sending them personal messages. In this scenario, David's belief that characters from the science fiction show are sending him messages aligns with a delusion of reference. Choices A, B, and D are incorrect because persecution delusions involve feeling targeted or harassed, influence delusions involve believing external forces are controlling one's thoughts or actions, and grandeur delusions involve an exaggerated sense of importance or power.

4. Which orientation focuses on symptoms rather than looking at underlying causes?

• A. Psychodynamic
• B. Adlerian
• C. Jungian
• D. Behavioral

Correct answer: A

Rationale: The correct answer is A: Psychodynamic. The psychodynamic orientation focuses on symptoms rather than underlying causes, emphasizing the importance of the unconscious mind. This approach views symptoms as manifestations of underlying psychological issues rooted in the unconscious. Choice B, Adlerian, is focused on individual psychology, social interests, and the importance of feelings of inferiority. Choice C, Jungian, is based on analytical psychology and the concepts of the collective unconscious and archetypes. Choice D, Behavioral, concentrates on observable behaviors and how they are learned and reinforced through interactions with the environment, rather than focusing on underlying causes.

5. 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.

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