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. ______________ are conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it.

• A. Risk factors
• B. Contributory causes
• C. Sufficient causes
• D. Protective factors

Correct answer: B

Rationale: The correct term for conditions that increase the probability of a disorder but are neither necessary nor sufficient to cause it is 'Contributory causes.' Risk factors (Choice A) are conditions that increase the likelihood of a negative outcome but do not imply causation. Sufficient causes (Choice C) are conditions that guarantee the occurrence of a disorder by themselves. Protective factors (Choice D) decrease the likelihood of a disorder rather than increasing it.

3. What term refers to the awareness that other people have their own intentions, desires, wants, and motives?

• A. Theory of mind
• B. Theory of personality
• C. Theory of being
• D. Theory of awareness

Correct answer: A

Rationale: The correct answer is 'Theory of mind.' Theory of mind is the understanding that others have their own thoughts, feelings, and intentions. This ability allows individuals to attribute mental states to others, enabling them to understand and predict behavior based on those mental states. Choices B, C, and D are incorrect because they do not specifically address the awareness of others' intentions, desires, wants, and motives.

4. Define resilience and explain its significance in mental health.

• A. Resilience refers to the ability to avoid all mental health issues despite severe stress.
• B. Resilience is the ability to adapt successfully to even very difficult circumstances.
• C. Resilience is the tendency to be unaffected by any form of stress or adversity.
• D. Resilience is the ability to avoid stress by avoiding challenges.

Correct answer: B

Rationale: The correct definition of resilience is the ability to adapt successfully to difficult circumstances, not avoiding stress entirely. Resilience is significant in mental health as it helps individuals overcome adversity rather than avoiding it. Choice A is incorrect as resilience doesn't mean avoiding all mental health issues but rather dealing with stress effectively. Choice C is incorrect as resilience involves facing and overcoming stress, not being unaffected by it. Choice D is incorrect as resilience involves facing challenges and stress, not avoiding them altogether.

5. In psychoanalytic theory, which psychosexual stage centers on castration anxiety?

• A. Genital
• B. Oral
• C. Anal
• D. Phallic

Correct answer: D

Rationale: Castration anxiety is a concept specific to the Phallic stage in psychoanalytic theory, according to Sigmund Freud. During the Phallic stage, children experience the Oedipus complex (boys) and Electra complex (girls), where they develop unconscious desires for the opposite-sex parent and fear castration by the same-sex parent. This anxiety is a crucial aspect of the Phallic stage, making it the correct answer. The other stages (Genital, Oral, and Anal) do not directly involve castration anxiety and focus on different aspects of psychosexual development.

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