Nursing Elites

1. Sandy took part in the April 2013 Boston Marathon, where two bombs were detonated near the finish line, killing three spectators. For approximately 2 weeks after the marathon, Sandy was unable to sleep or concentrate and often found herself reliving the moment she heard the bombs explode. What disorder might Sandy be diagnosed with?

• A. Posttraumatic stress disorder
• B. Phobic disorder
• C. Panic disorder
• D. Acute stress disorder

Correct answer: A

Rationale: Sandy might be diagnosed with posttraumatic stress disorder (PTSD). PTSD typically develops after exposure to a traumatic event and is characterized by symptoms such as re-experiencing the event, avoidance of reminders of the event, negative changes in thoughts and mood, and heightened reactivity. While acute stress disorder can occur shortly after a traumatic event, the duration of symptoms in the scenario suggests a more prolonged impact, aligning with PTSD. Phobic disorder and panic disorder are not as closely related to the described symptoms as PTSD.

2. The baby coos and the mom smiles, so the baby coos again to get mom to smile again. Piaget would say that this action is an example of?

• A. Reflexes
• B. Primary circular reactions
• C. Secondary circular reactions
• D. Tertiary circular reactions

Correct answer: C

Rationale: The correct answer is C: Secondary circular reactions. Secondary circular reactions are repeated actions that infants engage in to trigger a response from the environment, such as the baby cooing to make the mom smile. This behavior is characterized by a focus on the external environment and the repetition of actions to achieve a desired response. Choices A, B, and D are incorrect. Reflexes (choice A) are automatic, involuntary responses to a stimulus, while primary circular reactions (choice B) involve the repetition of actions primarily for the infant's own enjoyment rather than to elicit a response from the environment. Tertiary circular reactions (choice D) refer to the experimentation with new behaviors and variations in the way the infant interacts with the environment.

3. 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.

4. 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.

5. What term describes exceptional mental abilities such as mental math, memorization, musical, and artistic ability found among individuals with autism?

• A. Savant skills
• B. Theory of mind
• C. Echolalia
• D. Self-stimulatory behaviors

Correct answer: A

Rationale: The correct answer is A: Savant skills. Savant skills refer to exceptional abilities commonly observed in individuals with autism. These skills can include remarkable talents in areas such as mental math, memorization, music, and art. Choice B, Theory of mind, is the ability to attribute mental states to oneself and others, which is a different concept. Choice C, Echolalia, is the repetition of words or phrases, not related to exceptional abilities. Choice D, Self-stimulatory behaviors, involves repetitive body movements or sounds often seen in individuals with autism but is not directly related to exceptional mental abilities.

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