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. Which psychological perspective, emerging in the 1950s and 1960s, reflects a renewed interest in studying the mind or consciousness, similar to psychology's early days as a science in the late 1800s?

• A. Cognitive perspective.
• B. Mental perspective.
• C. Philosophical perspective.
• D. Biological perspective.

Correct answer: A

Rationale: The correct answer is the Cognitive perspective. The cognitive perspective indeed emerged in the 1950s and 1960s, reflecting a renewed interest in studying the mind and consciousness, akin to early psychology's focus when it first established as a science in the late 1800s. This perspective emphasizes mental processes, problem-solving, decision-making, and information processing. Choices B, C, and D are incorrect because the mental perspective is too generic and does not capture the emphasis on processes, the philosophical perspective is more focused on theories and concepts, and the biological perspective centers on the influence of biology on behavior rather than consciousness and mental processes.

3. 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.

4. Elliot became widowed after nearly 40 years of marriage. He has convinced himself that no one will ever love him again. His irrational thinking has caused him to suffer from depression, and he rarely leaves his house. What perspective might best explain his behavior?

• A. Psychodynamic
• B. Behavioral
• C. Biological
• D. Cognitive

Correct answer: D

Rationale: The cognitive perspective might best explain Elliot's irrational thinking and resulting depression. In this case, Elliot's belief that he will never be loved again is a cognitive distortion, leading to depressive symptoms and social withdrawal. The psychodynamic perspective primarily focuses on unconscious processes and unresolved conflicts from the past, which do not directly address Elliot's current cognitive distortions. The behavioral perspective would focus on observable behaviors and how they are reinforced, which is not the central issue in this scenario. The biological perspective would examine the role of genetics, brain chemistry, and other physiological factors, which are not the primary cause of Elliot's behavior in this context.

5. Arrange the three stages of prenatal development in the correct order.

• A. Germinal stage, fetal stage, embryonic stage
• B. Fetal stage, embryonic stage, germinal stage
• C. Embryonic stage, germinal stage, fetal stage
• D. Germinal stage, embryonic stage, fetal stage

Correct answer: D

Rationale: The correct order of the three stages of prenatal development is germinal stage, embryonic stage, and fetal stage. During the germinal stage, the fertilized egg rapidly divides and implants in the uterine wall. The embryonic stage follows, where major organs and systems begin to develop. Finally, during the fetal stage, the developing organism is known as a fetus and continues to grow and mature. Choice A is incorrect because it has the stages in the wrong order. Choice B is incorrect as it also presents the stages out of order. Choice C is incorrect as it reverses the order of the stages. Therefore, the correct answer is D.

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