Nursing Elites

1. One key issue in the study of human development is the continuity-discontinuity issue. The discontinuity side posits that development is characterized by change in type or kind. These are known as ____.

• A. Qualitative change
• B. Quantitative change
• C. Maturation
• D. Multidirectional development

Correct answer: A

Rationale: The correct answer is A: Qualitative change. Qualitative change aligns with the discontinuity view by involving changes in type or kind. This contrasts with quantitative change (B), which is about changes in amount or quantity. Maturation (C) refers to the process of becoming fully developed in a particular way, and multidirectional development (D) emphasizes that development involves both gains and losses, not specifically focusing on changes in type or kind.

2. 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.

3. How does stress impact brain function?

• A. Stress has no effect on brain function.
• B. Stress can lead to changes in brain structure and function.
• C. Stress can improve brain function.
• D. Stress has no long-term impact on brain function.

Correct answer: B

Rationale: Stress can lead to changes in brain structure and function, affecting mental health and increasing the risk of disorders. Choice A is incorrect as stress does affect brain function. Choice C is incorrect as stress generally has negative impacts on brain function rather than improving it. Choice D is incorrect because stress can have long-term impacts on brain function through structural and functional changes.

4. How do defense mechanisms contribute to psychopathology?

• A. They do not contribute to psychopathology as they are healthy coping mechanisms.
• B. They contribute to psychopathology by allowing individuals to avoid confronting painful realities.
• C. Defense mechanisms have no connection to psychopathology.
• D. Defense mechanisms are unconscious strategies that can lead to the development of psychopathology.

Correct answer: B

Rationale: The correct answer is B. Defense mechanisms contribute to psychopathology by allowing individuals to avoid confronting painful realities. This avoidance can prevent individuals from dealing with underlying issues, leading to the development or exacerbation of psychopathological conditions. Choice A is incorrect because while defense mechanisms may serve as coping mechanisms, they can also contribute to psychopathology when used excessively or inappropriately. Choice C is incorrect as defense mechanisms are indeed connected to psychopathology. Choice D is incorrect because defense mechanisms, when maladaptive, can contribute to psychopathology rather than being considered healthy coping strategies.

5. How does the environment interact with genetic predispositions to influence mental health?

• A. The environment has no influence on mental health.
• B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks.
• C. The environment can only influence physical health, not mental health.
• D. The environment has a minimal effect on mental health outcomes.

Correct answer: B

Rationale: The correct answer is B. The environment interacts with genetic predispositions to either enhance or mitigate mental health risks. This highlights the intricate relationship between one's genetic makeup and the environmental factors they are exposed to, both contributing significantly to mental health outcomes. Choice A is incorrect as numerous studies show that the environment plays a crucial role in mental health. Choice C is incorrect as the environment can influence both physical and mental health. Choice D is incorrect as research indicates that the environment can have a substantial impact on mental health outcomes.

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