Nursing Elites

1. How does psychoanalytic theory attempt to explain personality, motivation, and mental disorders?

• A. Studying observable behavior.
• B. Analyzing conscious experience into its basic elements.
• C. Focusing on unconscious determinants of behavior.
• D. Studying the function or purpose of consciousness.

Correct answer: C

Rationale: Psychoanalytic theory focuses on the unconscious determinants of behavior to explain personality, motivation, and mental disorders. This approach suggests that hidden forces in the unconscious mind influence our thoughts, feelings, and behaviors, shaping our overall psychological makeup. Choice A is incorrect because psychoanalytic theory delves beyond observable behavior. Choice B is incorrect as psychoanalytic theory goes deeper than analyzing conscious experience alone. Choice D is incorrect as psychoanalytic theory is more concerned with unconscious processes rather than the function or purpose of consciousness.

2. Which term refers to events that typically happen to everyone at certain times of life?

• A. Normative age-graded influence
• B. Social clock
• C. Sensitive period
• D. Normative history-graded influences

Correct answer: A

Rationale: The correct answer is A: Normative age-graded influence. Normative age-graded influences are events that typically happen to everyone at certain life stages, such as marriage, parenthood, puberty, and menopause. Choice B, 'Social clock,' refers to the culturally preferred timing of social events. Choice C, 'Sensitive period,' represents a time when a particular development occurs most easily. Choice D, 'Normative history-graded influences,' are common to people of a particular generation due to historical circumstances.

3. How do neurotransmitters affect behavior and mental processes?

• A. Neurotransmitters have little effect on behavior.
• B. Neurotransmitters are chemicals that influence mood, thought, and behavior.
• C. Neurotransmitters have a minor role in mental health.
• D. Neurotransmitters determine intelligence levels.

Correct answer: B

Rationale: Neurotransmitters are chemicals that influence mood, thought, and behavior, playing a significant role in mental health. Choice A is incorrect as neurotransmitters do have a notable effect on behavior. Choice C is incorrect as neurotransmitters have a major role in mental health. Choice D is incorrect as neurotransmitters do not solely determine intelligence levels.

4. 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.

5. What is extinction and how might it be used in treating a disorder?

• A. Extinction strengthens the conditioned response by continuously pairing the conditioned stimulus with the unconditioned stimulus.
• B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus.
• C. Extinction is ineffective and is not used in treating disorders.
• D. Extinction is the process of intensifying the conditioned response by pairing the conditioned stimulus with a stronger unconditioned stimulus.

Correct answer: B

Rationale: The correct answer is B. Extinction is the process of eliminating a conditioned response by repeatedly presenting the conditioned stimulus without the unconditioned stimulus. This helps in reducing or eliminating undesired behaviors. Choice A is incorrect because extinction does not strengthen the conditioned response but weakens it. Choice C is also incorrect as extinction is a valid technique used in treating disorders by reducing unwanted behaviors. Choice D is incorrect as extinction does not involve intensifying the conditioned response but rather diminishing it.

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